Authors: Devrim Akinci Burcak Gumus Orhan S Ozkan Mustafa N Ozmen Okan Akhan
Publish Date: 2004/10/12
Volume: 35, Issue: 2, Pages: 155-158
Abstract
Background Simple renal cysts are rare in children and managed conservatively unless symptomatic Objective To demonstrate the efficacy and longterm results of singlesession ethanol sclerotherapy in symptomatic simple renal cysts in children Materials and methods Three simple renal cysts in three children age 1 5 and 16 years were included in the study Indications for treatment were flank pain n=1 hypertension n=1 and increasing cyst size and urinary tract infection n=1 The mean followup period was 55 years range 3–7 years The procedures were performed with the guidance of US and fluoroscopy and under IV sedation After the cystogram 95 ethanol with a volume of 40 of the cyst volume but not more than 100 ml was used as the sclerosing agent Results Two cysts disappeared completely while the volume reduction was 99 for the third cyst at the end of the first year CT demonstrated calcification of the cyst without an enhancing softtissue component in the third one 7 years after sclerotherapy After the procedures hypertension and pain resolved without any medication There were no complications during the procedures or during followup Cytological examination was unremarkable in all patients Conclusions Percutaneous treatment of symptomatic simple renal cysts in children with singlesession ethanol sclerotherapy is a safe effective and minimally invasive procedure Calcification owing to sclerotherapy can be observed on followup
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