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Diagnostic and therapeutic challenges of an ambiguous cystic kidney disease in a resource limited setting: a case report.

Abstract Unilateral renal cystic disease is a rare condition that shares morphological similarities with multicystic dysplastic kidney, the former often distinguished from the latter on some clinical and histopathological grounds. However serious diagnostic and therapeutic dilemmas set in when there is a considerable overlap in the distinguishing features between these entities.
PMID
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Authors

Mayor MeshTerms
Keywords

Cameroon

Diagnosis

Multicystic dysplastic kidney

Unilateral renal cystic disease

Journal Title bmc research notes
Publication Year Start




PMID- 28249589
OWN - NLM
STAT- MEDLINE
DA  - 20170302
DCOM- 20170317
LR  - 20170317
IS  - 1756-0500 (Electronic)
IS  - 1756-0500 (Linking)
VI  - 10
IP  - 1
DP  - 2017 Mar 01
TI  - Diagnostic and therapeutic challenges of an ambiguous cystic kidney disease in a 
      resource limited setting: a case report.
PG  - 114
LID - 10.1186/s13104-017-2437-8 [doi]
AB  - BACKGROUND: Unilateral renal cystic disease is a rare condition that shares
      morphological similarities with multicystic dysplastic kidney, the former often
      distinguished from the latter on some clinical and histopathological grounds.
      However serious diagnostic and therapeutic dilemmas set in when there is a
      considerable overlap in the distinguishing features between these entities. CASE 
      PRESENTATION: A 19-year-old African female presented with a chronic severe
      debilitating right lower quadrant abdominal pain refractory to analgesics.
      Biochemical investigations and imaging studies revealed a non-functional
      polycystic right kidney and no identifiable pelvicalyceal system or ureter but
      with preserved renal function. The marked overlap in clinical presentation
      between unilateral renal cystic disease and multicystic dysplastic kidney in this
      patient necessitated further investigation to pose an appropriate diagnosis. A
      right nephrectomy was performed and histopathological analysis of the resected
      kidney done, the results of which were more consistent with unilateral renal
      cystic disease. The post-operative course was favorable. CONCLUSION: Unilateral
      renal cystic disease with an ipsilateral non-functional kidney and an atretic
      pelvicalyceal system is a very rare condition that needs to be distinguished from
      multicystic dysplastic kidney in order to guide management and set prognosis. A
      suspicion of either of these diseases therefore warrants a thorough clinical
      evaluation and the appropriate combination of biochemical and imaging
      investigations.
FAU - Dimala, Christian Akem
AU  - Dimala CA
AD  - Faculty of Epidemiology and Population Health, London School of Hygiene and
      Tropical Medicine, London, UK. [email protected]
AD  - Orthopaedics Department, Southend University Hospital, Essex, UK.
      [email protected]
AD  - Health and Human Development (2HD) Research Group, Douala, Cameroon.
      [email protected]
FAU - Bechem, Ndemazie Nkafu
AU  - Bechem NN
AD  - Penka Michel District Hospital, Penka-Michel, Cameroon.
FAU - Kadia, Benjamin Momo
AU  - Kadia BM
AD  - Presbyterian General Hospital Acha-Tugi, Acha, Cameroon.
FAU - Feteh, Vitalis Fambombi
AU  - Feteh VF
AD  - Health and Human Development (2HD) Research Group, Douala, Cameroon.
AD  - Mboppi Baptist Hospital, Douala, Cameroon.
FAU - Choukem, Simeon Pierre
AU  - Choukem SP
AD  - Health and Human Development (2HD) Research Group, Douala, Cameroon.
AD  - Faculty of Health Sciences, University of Buea, Buea, Cameroon.
AD  - Douala General Hospital, Douala, Cameroon.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170301
PL  - England
TA  - BMC Res Notes
JT  - BMC research notes
JID - 101462768
SB  - IM
MH  - Abdomen/diagnostic imaging
MH  - Diagnosis, Differential
MH  - Female
MH  - Health Resources/*standards
MH  - Humans
MH  - Kidney Diseases, Cystic/*diagnostic imaging/*surgery
MH  - Nephrectomy/*methods
MH  - Polycystic Kidney Diseases/diagnostic imaging/surgery
MH  - Ultrasonography/*methods
MH  - Young Adult
PMC - PMC5333378
OTO - NOTNLM
OT  - *Cameroon
OT  - *Diagnosis
OT  - *Multicystic dysplastic kidney
OT  - *Unilateral renal cystic disease
EDAT- 2017/03/03 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/03 06:00
PHST- 2016/09/13 [received]
PHST- 2017/02/24 [accepted]
AID - 10.1186/s13104-017-2437-8 [doi]
AID - 10.1186/s13104-017-2437-8 [pii]
PST - epublish
SO  - BMC Res Notes. 2017 Mar 1;10(1):114. doi: 10.1186/s13104-017-2437-8.

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