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    [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.

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