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Rupture of the cyst of the kidney - the main signs of defeat, causes, treatment

  • Rupture of the cyst of the kidney - the main signs of defeat, causes, treatment

    Non-traumatic rupture of the kidney cyst or spontaneous otherwise is quite rare and therefore is a difficult case in terms of conducting the diagnosis.

    What are the causes of the

    rupture? There are several main reasons for the rupture of the cystic tumor, namely:

    • The pressure of adjacent organs on the enlarged neoplasm - while the shell does not withstand pressure.
    • Development of inflammation in the kidney, which thins its walls.
    • Unbearable physical exertion on the body - sudden lifting of weights, intense exercise, etc.
    • External traumatic factors.
    • Cyst outgrowth, in which the pressure in the cavity of the neoplasm increases, provoking a rupture.

    Symptoms of rupture of a cystic neoplasm in the kidney

    Clinical symptoms of a ruptured kidney cyst develop due to the penetration of serous fluid into the abdominal cavity or into the calyx and kidney of the kidney:

    1. Blood in the urine or hematuria - appears in a situation where the rupture provoked a lesion in the bowl-and-pelvis system. There are two forms of hematuria, namely:
      • Microhematuria - there is very little blood in the urine, so it is impossible to see it with the naked eye. It reveals pathologies when passing urine tests and manifests itself more often in unopened cases.
      • Macrogematuria - copious discharge of blood along with urine, occurs with complex lesions and neglected cases.
    2. Painful sensations. If a break occurs, the person feels acute pain in the lumbar region, in the abdomen and under the ribs. Pain can also manifest itself in the absence of a rupture, because the cyst with pressure greatly presses on nearby organs. Pain is expressed in different ways and with varying intensity, but it is not sharp or acute. The gap implies immediate surgical intervention. Such a complication provokes very serious consequences:
      • Sepsis or infection of blood flow, when fluid enters the abdominal cavity from a cystic tumor.
      • Severe internal bleeding.

    This is important! Hematuria is very rare in the case of rupture of a simple cyst due to the fact that inside the formation is a transparent liquid with a yellowish tinge. Gaps in complex cysts almost always provoke hematuria.

    The loss of a large volume of blood is very dangerous for a person and sometimes it provokes the development of an oncological disease.

    Diagnosis of pathology and cyst rupture

    In modern medicine, there is no single tactic for diagnosis and treatment to identify an unexpected kidney rupture, the severity of the patient's condition and forecasting, even though the gap is an urgent condition involving the organization of urgent measureson the prevention of defeat and protection of human life.

    Often there is an incorrect diagnosis, and only a postmortem statement of the correct diagnosis of a ruptured kidney. Thus, there is an unjustified delay in the surgical procedure. Simultaneously, the increase in the sensitivity of diagnostic methods - computed tomography, ultrasound and MRI, makes it possible to increase the chances of timely diagnosis of the exact identification of the cause that provoked an unexpected rupture of the kidney.

    This is important! Based on the findings, in most cases, a cause is established that provoked a gap in the kidney, as well as assess the need for the operation and plan its volumes.

    Treatment for the prevention of organ rupture

    Treatment of a cyst is the implementation of a surgical procedure. It will directly depend on the size of education, its propensity to increase and spread to nearby tissues. There are two main tactics of treatment - puncture of the cyst and its further sclerosing or laparoscopy of the cyst.

    An urgent need for an operation occurs in the following situations:

    • Transient pain sensations.
    • Dysfunction of the kidneys.
    • Transient hypertension, which can not be corrected by drugs.
    • Suspected transformation of the cyst into a malignant pathology.
    • With a huge cyst size - more than 5 cm in diameter.
    • Presence of suspicion of the parasitic origin of the cyst.

    The most common types of surgery in modern medicine are:

    • Percutaneous puncture of the cyst, which is of a therapeutic and diagnostic nature.
    • Precision puncture, which has a therapeutic and diagnostic nature, but ends with the process of sclerosing cyst walls.
    • Open operative intervention on the kidney.
    • Puncture of cyst and subsequent sclerosing.

    This is important! It is very important in the treatment process to take into account that even with a small amount of cysts there may be no technical possibility of performing its puncture - everything will depend on the specific location of the cyst in the organ.

    Possible complications of

    pathology A ruptured cystic tumor can provoke other infectious processes and inflammations. This can lead to severe bleeding, secondary infection and acute kidney failure. Secondary infections provoke chills, fever, back pain, frequent urge to urinate and its violation.

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