Volume 53, Issue 1, Pages (January 2008)

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Volume 53, Issue 1, Pages 198-200 (January 2008) Splenic Cyst Presenting as Severe Hydronephrosis in a Pediatric Patient  W. Stuart Reynolds, David E. Rapp, Alvaro Lucioni, Lambda P. Msezane, Kate A. Feinstein, Clare E. Close  European Urology  Volume 53, Issue 1, Pages 198-200 (January 2008) DOI: 10.1016/j.eururo.2007.01.092 Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 1 Renal sonography demonstrating a large cystic mass of the left quadrant. A rim of parenchymal tissue is observed, consistent with renal tissue (white arrow). European Urology 2008 53, 198-200DOI: (10.1016/j.eururo.2007.01.092) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 2 Magnetic resonance imaging demonstrates a large cystic mass of the left quadrant. (A) Coronal view demonstrates large cystic mass with rim of parenchymal tissue superiorly. (B) Transverse view shows a large cystic mass of the left quadrant. (C) Sagittal view demonstrates right kidney anomaly, consistent with complete renal duplication. European Urology 2008 53, 198-200DOI: (10.1016/j.eururo.2007.01.092) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 3 Left retrograde pyelography. (A) A normal left collecting system and ureter are observed medial to the proximal limb of the “nephrostomy” tube. (B) Antegrade injection of contrast demonstrates tube tip in a cavity lateral to the left kidney. European Urology 2008 53, 198-200DOI: (10.1016/j.eururo.2007.01.092) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 4 Intraoperative images of splenic cyst. (A) Partially decompressed cyst cavity with nephrostomy tube in place. (B) Anterior spleen with calcifications and adjoining cyst wall. European Urology 2008 53, 198-200DOI: (10.1016/j.eururo.2007.01.092) Copyright © 2007 European Association of Urology Terms and Conditions