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Single-session percutaneous ethanol sclerotherapy in simple renal cysts in children: long-term follow-up.
Pediatr Radiol. 2005 Feb; 35(2):155-8.PR

Abstract

BACKGROUND

Simple renal cysts are rare in children and managed conservatively unless symptomatic.

OBJECTIVE

To demonstrate the efficacy and long-term results of single-session ethanol sclerotherapy in symptomatic simple renal cysts in children.

MATERIALS AND METHODS

Three simple renal cysts in three children (age 1, 5 and 16 years) were included in the study. Indications for treatment were flank pain (n = 1), hypertension (n = 1), and increasing cyst size and urinary tract infection (n = 1). The mean follow-up period was 5.5 years (range 3-7 years). The procedures were performed with the guidance of US and fluoroscopy and under IV sedation. After the cystogram, 95% ethanol with a volume of 40% of the cyst volume (but not more than 100 ml) was used as the sclerosing agent.

RESULTS

Two cysts disappeared completely, while the volume reduction was 99% for the third cyst at the end of the first year. CT demonstrated calcification of the cyst without an enhancing soft-tissue component in the third one 7 years after sclerotherapy. After the procedures, hypertension and pain resolved without any medication. There were no complications during the procedures or during follow-up. Cytological examination was unremarkable in all patients.

CONCLUSIONS

Percutaneous treatment of symptomatic simple renal cysts in children with single-session ethanol sclerotherapy is a safe, effective and minimally invasive procedure. Calcification owing to sclerotherapy can be observed on follow-up.

Authors+Show Affiliations

Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey. akincid@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15480613

Citation

Akinci, Devrim, et al. "Single-session Percutaneous Ethanol Sclerotherapy in Simple Renal Cysts in Children: Long-term Follow-up." Pediatric Radiology, vol. 35, no. 2, 2005, pp. 155-8.
Akinci D, Gumus B, Ozkan OS, et al. Single-session percutaneous ethanol sclerotherapy in simple renal cysts in children: long-term follow-up. Pediatr Radiol. 2005;35(2):155-8.
Akinci, D., Gumus, B., Ozkan, O. S., Ozmen, M. N., & Akhan, O. (2005). Single-session percutaneous ethanol sclerotherapy in simple renal cysts in children: long-term follow-up. Pediatric Radiology, 35(2), 155-8.
Akinci D, et al. Single-session Percutaneous Ethanol Sclerotherapy in Simple Renal Cysts in Children: Long-term Follow-up. Pediatr Radiol. 2005;35(2):155-8. PubMed PMID: 15480613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single-session percutaneous ethanol sclerotherapy in simple renal cysts in children: long-term follow-up. AU - Akinci,Devrim, AU - Gumus,Burcak, AU - Ozkan,Orhan S, AU - Ozmen,Mustafa N, AU - Akhan,Okan, Y1 - 2004/10/12/ PY - 2004/06/16/received PY - 2004/08/03/accepted PY - 2004/07/27/revised PY - 2004/10/14/pubmed PY - 2005/7/15/medline PY - 2004/10/14/entrez SP - 155 EP - 8 JF - Pediatric radiology JO - Pediatr Radiol VL - 35 IS - 2 N2 - BACKGROUND: Simple renal cysts are rare in children and managed conservatively unless symptomatic. OBJECTIVE: To demonstrate the efficacy and long-term results of single-session ethanol sclerotherapy in symptomatic simple renal cysts in children. MATERIALS AND METHODS: Three simple renal cysts in three children (age 1, 5 and 16 years) were included in the study. Indications for treatment were flank pain (n = 1), hypertension (n = 1), and increasing cyst size and urinary tract infection (n = 1). The mean follow-up period was 5.5 years (range 3-7 years). The procedures were performed with the guidance of US and fluoroscopy and under IV sedation. After the cystogram, 95% ethanol with a volume of 40% of the cyst volume (but not more than 100 ml) was used as the sclerosing agent. RESULTS: Two cysts disappeared completely, while the volume reduction was 99% for the third cyst at the end of the first year. CT demonstrated calcification of the cyst without an enhancing soft-tissue component in the third one 7 years after sclerotherapy. After the procedures, hypertension and pain resolved without any medication. There were no complications during the procedures or during follow-up. Cytological examination was unremarkable in all patients. CONCLUSIONS: Percutaneous treatment of symptomatic simple renal cysts in children with single-session ethanol sclerotherapy is a safe, effective and minimally invasive procedure. Calcification owing to sclerotherapy can be observed on follow-up. SN - 0301-0449 UR - https://www.unboundmedicine.com/medline/citation/15480613/Single_session_percutaneous_ethanol_sclerotherapy_in_simple_renal_cysts_in_children:_long_term_follow_up_ L2 - https://dx.doi.org/10.1007/s00247-004-1337-y DB - PRIME DP - Unbound Medicine ER -