A large abdominal cyst as a manifestation of pelviureteric junction obstruction in a neonate.

Pak J Med Sci

Maham Shehzadi, MBBS. Final Year Resident Pediatrics, Department of Neonatology, Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

Published: January 2024

AI Article Synopsis

  • Intraabdominal cysts in babies before they are born are rare and usually come from the kidneys.
  • A specific case showed a big cyst that caused problems for the other kidney because it was pressing against it.
  • It's important for doctors to know about these unusual cysts and to check for kidney problems so they can protect the baby's kidneys until surgery can be done.

Article Abstract

Intraabdominal cystic lesions diagnosed during antenatal period are uncommon. They are found to have varying origins, with renal tract being the most common site. Rarely, a large unilateral cystic lesion of renal origin is caused by Pelviureteric junction obstruction, crossing the midline, leading to compression of the contralateral kidney. We present a case of a neonate who was diagnosed with a large abdominal cyst in the antenatal period. The cyst persisted and crossed the midline causing hydronephrosis on the contralateral side. This is an unusual presentation of a commonly occurring condition, usually such large cyst at birth origins from alimentary tract rather renal system. It is important to understand unusual presentations of intraabdominal lesions and the associated pathology. It is mandatory to rule out renal obstruction, if there is any decompression of renal function, it is mandatory to save renal function till the time of definitive surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10844912PMC
http://dx.doi.org/10.12669/pjms.40.2(ICON).8980DOI Listing

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