Abstract
Giant renal cysts measuring more than 15 cm in greatest diameter are uncommon (1). They present with loin or abdominal discomfort, early satiety and abdominal distension, but most are incidentally found, especially small volume cysts. Rarely, they present with hypertension. Aspiration with or without sclerosants had been tried with several complications and recurrence. Decortication is the mainstay of management and laparoscopic decortication and fenestration has become popular due to its many advantages (2).
Highlights
Giant renal cysts measuring more than 15 cm in greatest diameter are uncommon (1)
A 24-year old female presented with early satiety and undue upper abdominal fullness following meals
Simple renal cysts occur with an incidence of 20% by 40 years of age and 33% by 60 years (3)
Summary
Giant renal cysts measuring more than 15 cm in greatest diameter are uncommon (1). They present with loin or abdominal discomfort, early satiety and abdominal distension, but most are incidentally found, especially small volume cysts. Decortication is the mainstay of management and laparoscopic decortication and fenestration has become popular due to its many advantages (2). It was performed under general anaesthesia in the standard right lateral position. The 12 mm camera port was inserted using the open Hassen technique, taking extra precautions to avoid puncturing the cyst
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