Complicated course of solitary kidney cysts in patients with a new coronavirus infection

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Abstract

The article describes the clinical manifestations of a solitary kidney cyst, methods for diagnosing this disease, as well as possible complications and videoendoscopic methods of surgical treatment.

The presented nosology is a fairly common lesion of the kidneys with clinically significant symptoms that manifest at any age. In most cases, simple kidney cysts are an accidental finding on ultrasound examination and, with small sizes, do not require active observation and treatment. In a small percentage of cases, cysts can be complicated by bleeding, infection or rupture, after which there is a need for active surgical treatment. As a clinical example illustrating the options for endoscopic treatment of a complicated course of solitary kidney cyst, the data of 2 patients with a new coronavirus infection, in whom a hemorrhage into the cavity of a large cyst was diagnosed in the postcovid period against the background of continued anticoagulant therapy, are presented. The article describes in detail the clinical manifestations of the disease, options and stages of surgical treatment from laparoscopic and retroperitoneal approaches in a multidisciplinary hospital.

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About the authors

Suleyman I. Suleymanov

People’s Friendship University of Russia (RUDN University); City Clinical Hospital No. 13

Author for correspondence.
Email: s.i.suleymanov@mail.ru
ORCID iD: 0000-0002-0461-9885
SPIN-code: 7168-8819
Scopus Author ID: 57080003900

MD, Dr. Sci. (Med), professor of the Department of Endoscopic Urology, head of the Urology Department

Russian Federation, Moscow; Moscow

Zieratsho A. Kadyrov

People’s Friendship University of Russia (RUDN University)

Email: Zieratsho@yandex.ru
ORCID iD: 0000-0002-1108-8138
SPIN-code: 6732-8490
Scopus Author ID: 6602093282

MD, Dr. Sci. (Med), Professor, head of the Department of Endoscopic Urology

Russian Federation, Moscow

Vladislav V. Musohranov

City Clinical Hospital No. 13

Email: vlad412@mail.ru
ORCID iD: 0000-0003-1336-931X

MD, Cand. Sci. (Med.), urologist

Russian Federation, Moscow

Alexandr S. Babkin

City Clinical Hospital No. 13

Email: alexbabkin3004@mail.ru
ORCID iD: 0000-0003-1570-1793

urologist

Russian Federation, Moscow

Alan M. Aguzarov

City Clinical Hospital No. 13

Email: aguzarofff@ya.ru

urologist

Russian Federation, Moscow

Konstantin K. Bagaturiya

City Clinical Hospital No. 13

Email: buba-190@rambler.ru

urologist

Russian Federation, Moscow

Zaur I. Ashurov

City Clinical Hospital No. 13

Email: zaur_ashurov@mail.ru

urologist

Russian Federation, Moscow

Alexander A. Tyagun

City Clinical Hospital No. 13

Email: tyagun1976@gmail.com

urologist

Russian Federation, Moscow

Dmitrii A. Fedorov

City Clinical Hospital No. 13

Email: fedorov3867@icloud.com

urologist

Russian Federation, Moscow

References

  1. Bosniak MA. The current radiological approach to renal cysts. Radiology. 1986;158(1):1–10. doi: 10.1148/radiology.158.1.3510019
  2. Golbits AB, Kryaneva EV, Rubtsova NA, et al. Bosniak classification version 2019: updated algorithms for the diagnosis of cystic renal masses. Cancer Urology. 2021;17(4):165–175. (In Russ.) doi: 10.17650/1726-9776-2021-17-4-165-175
  3. Agnello F, Albano D, Micci G, et al. CT and MR imaging of cystic renal lesions. Insights Imaging. 2020;11(1):5. doi: 10.1186/s13244-019-0826-3
  4. Grigor’ev NA. MRT v diagnostike urologicheskikh zabolevanii [dissertation]. Moscow, 2004. (In Russ.)
  5. Bisceglia M, Galliani CA, Senger C, et al. Renal cystic diseases: a review. Adv Anat Pathol. 2006;13(1):26–56. doi: 10.1097/01.pap.0000201831.77472.d3
  6. Eknoyan G. A clinical view of simple and complex renal cysts. J Am Soc Nephrol. 2009;20(9):1874–1876. doi: 10.1681/ASN.2008040441
  7. Stalmahovich VN, Angarkhaeva LV, Yakovchenko SN. Comparative analysis of surgical treatment outcomes in children with solitary renal cysts. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2019;9(4):57–68. (In Russ.) doi: 10.30946/2219-4061-2019-9-4-57-68
  8. Ibragimov RP, Madadov IK, Belgibaev EB, Syrymov ZM. Laparoscopic de-roofing of renal cysts. The Oncology and Radiology of Kazakhstan. 2019;(S):70.
  9. Madadov IK, Belgibaev EB, Nabiev ES, et al. Our experience retroperitoneoscopic excision of simple kidney cysts: advantages and disadvantages. Bulletin of Surgery in Kazakhstan. 2022;(71):5–9.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Clinical case No. 1. Laparoscopic excision of a cyst of the left kidney complicated by bleeding in a 51-year-old patient: a — stage of evacuation of blood clots; b — stage of revision of the cyst cavity (the arrow indicates the cyst cavity)

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3. Fig. 2. Clinical case No. 2. Computed tomography of the kidneys and urinary tract with contrast enhancement of a 60-year-old patient, arterial phase (the arrows shows a kidney cyst complicated by bleeding): а — frontal plane; b — sagittal plane

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