Urologic findings on computed tomography of the abdomen and pelvis in a pediatric population

Marietti, Sarah; Woldrich, Jeffrey M.; Durbin, Jason M.; Sparks, Scott; Kaplan, George W.; Chiang, George

doi:10.1016/j.jpurol.2012.05.014

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…Diagnostic difficulties are related to their resemblance to other cystic lesions in children, including: simple cysts, hydronephrotic dilatation of pelvicalyceal system in a duplex kidney, cystic renal tumors as well as autosomal dominant polycystic kidney disease (ADPKD), in the course of which cysts may appear as early as in neonatal age. Simple cysts are rare in children [ 6 , 12 ] and may be related to early presentation of ADPKD. Limitations in procedures involving ionizing radiation in this age group constitute an additional problem.…”

Section: Discussionmentioning

confidence: 99%

Calyceal Diverticulum of the Kidney – Diagnostic Imaging Dilemma in Pediatric Patients – Case Report

et al. 2015

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SummaryBackgroundCalyceal diverticula are rarely diagnosed in children. They can mimic other renal cystic lesions and correct diagnosis can be difficult to establish. Connection between fluid collection and collecting system confirmed by imaging studies is the key diagnostic finding.Case ReportIn this report we present a case of pediatric patient with calyceal diverticulum, with initial ultrasonographic diagnosis of simple renal cyst. Final diagnosis was established after extended diagnostics following infection of a fluid collection.Conclusions1. Differential diagnosis of well-circumscribed solitary renal fluid collections in children should include particularly: simple cyst, calyceal diverticulum and the first demonstration of ADPKD. 2. Diagnosis of calyceal diverticulum should be confirmed by contrast studies. 3. Standard management of calyceal diverticula in children includes ultrasonographic follow-up and conservative treatment and rarely requires surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Calyceal Diverticulum of the Kidney – Diagnostic Imaging Dilemma in Pediatric Patients – Case Report

et al. 2015

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“…[ 45 , 46 , 47 ]. Simple renal cysts have also been described in pediatric population at routine computed tomography scans, for example 69 cases were diagnosed after 2991 scans in one study between 2007 and 2009 [ 48 ].…”

Section: General Datamentioning

confidence: 99%

Cystic adrenal lesions: focus on pediatric population (a review)

Cârșote

Ghemigian

Terzea

et al. 2017

Medicine and Pharmacy Reports

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Background and aimThe cysts may potentially affect any organ; adrenals cysts are rare. This is a review of the literature regarding adrenal cysts, focusing on children and young adults.General dataThree major types have been described: pure cysts (endothelial, epithelial, and hemorrhagic or pseudocyst), parasitic (as hydatid) cysts and cystic part of a tumour (most frequent are neuroblastoma, ganglioneuroma, pheocromocytoma, and teratoma). The complications are: bleeding, local pressure effects; infection; rupture (including post-traumatic); arterial hypertension due to renal vessels compression. Adrenal hemorrhage represents a particular condition associating precipitating factors such as: coagulation defects as Factor IX or X deficiency, von Willebrand disease, thrombocytopenia; antiphospholipid syndrome; previous therapy with clopidogrel or corticosteroids; the rupture of a prior tumour. At birth, the most suggestive features are abdominal palpable mass, anemia, and persistent jaundice. Adrenal insufficiency may be found especially in premature delivery. The hemorrhage is mostly self-limiting. Antenatal ultrasound diagnosis of a cyst does not always predict the exact pathology result. The most important differential diagnosis of adrenal hemorrhage/hemorrhagic cyst is cystic neuroblastoma which is highly suggestive in the presence of distant metastases and abnormal catecholamine profile. The major clue to differentiate the two conditions is the fact that the tumor is stable or increases over time while the adrenal hemorrhage is expected to remit within one to two weeks.ConclusionPediatric adrenal cysts vary from simple cysts with a benign behavior to neoplasia- related lesions displaying severe prognosis as seen in cystic neuroblastoma. A multidisciplinary team is required for their management which is conservative as close follow-up or it makes necessary different surgical procedures in cases with large masses or if a malignancy suspicion is presented. Recently, laparoscopic approach is regarded as a safe procedure by some authors but generally, open surgery is more frequent used compare to adults; in most cases the preservation of normal gland is advisable.

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Epidemiology of Pediatric Nephrolithiasis

Clayton²

2022

Diagnosis and Management of Pediatric Nephrolithiasis

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Urologic findings on computed tomography of the abdomen and pelvis in a pediatric population

Cited by 8 publications

References 10 publications

Calyceal Diverticulum of the Kidney – Diagnostic Imaging Dilemma in Pediatric Patients – Case Report

Calyceal Diverticulum of the Kidney – Diagnostic Imaging Dilemma in Pediatric Patients – Case Report

Cystic adrenal lesions: focus on pediatric population (a review)

Epidemiology of Pediatric Nephrolithiasis

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