Complicated course of solitary kidney cysts in patients with a new coronavirus infection

Abstract

The article describes the clinical manifestations of a solitary kidney cyst, methods for diagnosing this disease, as well as possible complications and videoendoscopic methods of surgical treatment.

The presented nosology is a fairly common lesion of the kidneys with clinically significant symptoms that manifest at any age. In most cases, simple kidney cysts are an accidental finding on ultrasound examination and, with small sizes, do not require active observation and treatment. In a small percentage of cases, cysts can be complicated by bleeding, infection or rupture, after which there is a need for active surgical treatment. As a clinical example illustrating the options for endoscopic treatment of a complicated course of solitary kidney cyst, the data of 2 patients with a new coronavirus infection, in whom a hemorrhage into the cavity of a large cyst was diagnosed in the postcovid period against the background of continued anticoagulant therapy, are presented. The article describes in detail the clinical manifestations of the disease, options and stages of surgical treatment from laparoscopic and retroperitoneal approaches in a multidisciplinary hospital.

Keywords

solitary kidney cyst / complicated renal cyst / COVID-19 / laparoscopic excision / retroperitoneoscopic excision

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