[Major complications of acquired renal cystic disease: Wünderlich syndrome and papilar carcinoma.]

Arch Esp Urol 2017 Jul;70(6):612-617

Servicio de Anatomía Patológica. Hospital Universitario Virgen Macarena,Sevilla. España.

Objetive: We report a case of acquired renal cystic disease associated with renal dialysis and endstage renal disease. The patient suffered the two major complications related with acquired renal cystic disease; hemorrhage and renal carcinoma.

Methods: Our case is a patient with acquired renal cystic disease, single kidney after surgery for renal clear cell carcinoma four years earlier, who developed a Wünderlich syndrome (WS).

Results: The histological study of the nephrectomy specimen showed a renal papillary carcinoma in the context of acquired renal cystic disease after surgery for a WS.

Conclusions: Renal hemorrhage is a serious complication that can lead to a fatal outcome. Patients undergoing dialysis should be monitored actively due to the risk of developing acquired renal cystic disease and associated complications.
July 2017
10 Reads

Publication Analysis

Top Keywords

renal cystic
24
acquired renal
24
cystic disease
24
renal
12
disease associated
8
wünderlich syndrome
8
complications acquired
8
disease
7
cystic
6
acquired
6
histological study
4
syndrome wsresults
4
wsresults histological
4
study nephrectomy
4
renal papillary
4
papillary carcinoma
4
developed wünderlich
4
specimen renal
4
nephrectomy specimen
4
clear cell
4

Similar Publications

Renal cortical neoplasm in a child with dialysis-acquired cystic kidney disease.

Urology 1996 Feb;47(2):254-5

Department of Pathology, Albany Medical College, New York 12208, USA.

Acquired cystic disease of the kidney is a common phenomenon in long-term adult dialysis patients with endstage renal disease. Malignant degeneration with cortical neoplasms is also well documented in this patient population. Although the prevalence of this disease process is common in adults, the literature is sparse concerning its occurrence in children. Read More

View Article
February 1996

CT findings in complications of acquired renal cystic disease.

J Comput Assist Tomogr 1987 Sep-Oct;11(5):905-8

Department of Medicine, Veterans Administration Medical Center, Emory University School of Medicine, Atlanta, GA.

A 42-year-old man with end-stage renal disease developed acquired renal cystic disease. The left kidney underwent tumorous degeneration necessitating nephrectomy. Eight months later acute hemorrhagic renal cyst rupture culminated in right nephrectomy. Read More

View Article
November 1987

Renal cell carcinoma in dialysis patients with acquired renal cysts.

Nephrol Dial Transplant 1989 ;4(9):763-9

Department of Internal Medicine, Ruperto Carola University, Heidelberg, FRG.

View Article
April 1990

Metastasizing renal cell carcinoma and acquired renal cystic disease in a hemodialysis patient.

Am J Nephrol 1991 ;11(3):224-8

Department of Medicine, General Hospital of INSALUD, Cáceres, Spain.

Acquired renal cystic disease is an entity which is characterized by the progressive substitution of the atrophic renal parenchyma by multiple cysts in patients with renal insufficiency. Its main complications are hemorrhage and tumorous degeneration. The case discussed is a 57-year-old patient with terminal renal insufficiency secondary to interstitial nephropathy, who, following 6 years of treatment with hemodialysis and renal transplantation, developed a state of persistent hematuria requiring nephrectomy of the left kidney. Read More

View Article
January 1992