Abstract
An article describes diagnostic difficulties in patient with giant renal cyst, erroneously diagnosed as ascites on ultrasonographic examination. Patient was initially suspected to have disseminated intraabdominal malignancy. Abdominal paracentesis of supposed ascites was performed. The diagnosis of giant renal cyst was finally made by CT and patient was treated surgically. The limitations of ultrasonographic examination are pointed out are and a brief review of similar cases is given.
Highlights
We proceeded on performing CT examination of abdomen, which revealed a giant renal cyst with origin in left kidney, with 27 cm diameter (Fig. 1)
Many authors described various diagnostic mistakes made by abdominal ultrasonography, misled by either fluidcontaining or solid intraabdominal formations
We focused on erroneously diagnosed ascites and noted a few cases, but none of them described any giant renal cyst imitating ascites
Summary
Martin Borovec[1], Miroslav Solař[1], Jiří Ceral[1], Antonín Michl[2] Charles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Czech Republic: 1st Department of Internal Medicine[1], Department of Diagnostic Radiology[2]. Summary: An article describes diagnostic difficulties in patient with giant renal cyst, erroneously diagnosed as ascites on ultrasonographic examination. Patient was initially suspected to have disseminated intraabdominal malignancy. Abdominal paracentesis of supposed ascites was performed. The diagnosis of giant renal cyst was made by CT and patient was treated surgically. The limitations of ultrasonographic examination are pointed out are and a brief review of similar cases is given
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