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Giant renal parapelvic cyst with pelvi-ureteric junction obstruction in an infant: challenges in diagnosis and laparoscopic management
  1. Rohit Kapoor,
  2. Ankur Mandelia,
  3. Anju Verma and
  4. Pujana Kanneganti
  1. Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Ankur Mandelia; drankurmandelia{at}gmail.com

Abstract

Renal parapelvic cysts (RPC) have an incidence of approximately 1%–3% in the general population. However, they rarely present in children with only two cases reported in literature. RPC are often misdiagnosed as it is difficult to distinguish them from hydronephrosis on preoperative imaging. We report a case of an infant with a giant RPC with associated pelvi-ureteric junction obstruction, who was managed successfully with laparoscopic complete excision of RPC and dismembered pyeloplasty. In our report, we discuss the challenges faced in the diagnosis and surgical management of this unusual case.

  • Paediatric Surgery
  • Urological surgery
  • Paediatrics

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Footnotes

  • Contributors All authors (RK, AM, AV and PK) contributed to the article conception and design. Material preparation and data collection were performed by RK, AM, AV and PK. The first draft of the manuscript was written by RK and AM. All authors (RK, AM, AV and PK) commented on and revised previous versions of the manuscript. All authors (RK, AM, AV and PK) read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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