Semin intervent Radiol 2011; 28(4): 380-391
DOI: 10.1055/s-0031-1296080
© Thieme Medical Publishers

Renal Cysts and Urinomas

Jessica Lee1 , Michael Darcy1
  • 1Mallinckrodt Institute of Radiology, St. Louis, Missouri
Further Information

Publication History

Publication Date:
03 January 2012 (online)

ABSTRACT

Renal cysts are a common imaging finding. Although most cysts never have symptoms, some cause pain, collecting system compression, hematuria, hypertension, and secondary infection. The mere presence of a cyst is not an indication for intervention, but treatment may be indicated in symptomatic patients or those with secondary obstruction. Urinomas generally are a contained collection of urine outside of the normal pathways where urine travels. As such, urinomas can arise anywhere from the upper abdomen down into the low pelvis and have a variety of etiologies. Ureteral obstruction with forniceal rupture and trauma (blunt, penetrating, or iatrogenic) are the most common causes of urinomas. When urinomas arise spontaneously, the likely cause varies with the patient's age. Blunt or penetrating trauma can cause perinephric urinomas by two mechanisms—direct disruption of the pelvis or collecting system or by degeneration of nonviable tissue. These urinomas are often perinephric, but can also occur in a subcapsular location. This review will discuss diagnosis, classification, and treatment of renal cysts and urinomas.

REFERENCES

  • 1 McHugh K, Stringer D A, Hebert D, Babiak C A. Simple renal cysts in children: diagnosis and follow-up with US.  Radiology. 1991;  178 (2) 383-385
  • 2 Hartman D S, Weatherby III E, Laskin W B, Brody J M, Corse W, Baluch J D. Cystic renal cell carcinoma: CT findings simulating a benign hyperdense cyst.  AJR Am J Roentgenol. 1992;  159 (6) 1235-1237
  • 3 Israel G M, Bosniak M A. An update of the Bosniak renal cyst classification system.  Urology. 2005;  66 (3) 484-488
  • 4 Lang E K. Renal cyst puncture studies.  Urol Clin North Am. 1987;  14 (1) 91-102
  • 5 Mosli H, MacDonald P, Schillinger J. Caliceal diverticula developing into simple renal cyst.  J Urol. 1986;  136 (3) 658-661
  • 6 Grantham J J. Pathogenesis of renal cyst expansion: opportunities for therapy.  Am J Kidney Dis. 1994;  23 (2) 210-218
  • 7 Patel K, Caro P A, Chatten J. Parapelvic renal cyst causing UPJ obstruction. Investigation by IVP, ultrasound and CT.  Pediatr Radiol. 1988;  19 (1) 2-5
  • 8 Mishal J, Lebovici O, Bregman L, London D, Yoffe B, Sherer Y. Huge renal arteriovenous malformation mimicking simple parapelvic cyst.  Clin Imaging. 2000;  24 (3) 166-168
  • 9 Kwon H S, Shin S J, Yun S N, Yang C W, Chang Y S, Bang B K. Renal artery aneurysm manifested as parapelvic cyst on abdominal sonography.  Nephron. 1996;  74 (1) 229
  • 10 Amis Jr E S, Cronan J J. The renal sinus: an imaging review and proposed nomenclature for sinus cysts.  J Urol. 1988;  139 (6) 1151-1159
  • 11 Whelan T F. Guidelines on the management of renal cyst disease.  Can Urol Assoc J. 2010;  4 (2) 98-99
  • 12 Hughes C R, Stewart Jr P F, Breckenridge J W. Renal cyst rupture following blunt abdominal trauma: case report.  J Trauma. 1995;  38 (1) 28-29
  • 13 Papanicolaou N, Pfister R C, Yoder I C. Spontaneous and traumatic rupture of renal cysts: diagnosis and outcome.  Radiology. 1986;  160 (1) 99-103
  • 14 Davis III J M, McLaughlin A P. Spontaneous renal hemorrhage due to cyst rupture: CT findings.  AJR Am J Roentgenol. 1987;  148 (4) 763-764
  • 15 Blakeley C J, Thiagalingham N. Spontaneous retroperitoneal haemorrhage from a renal cyst: an unusual cause of haemorrhagic shock.  Emerg Med J. 2003;  20 (4) 388
  • 16 Lin Y Y, Chen J D, How C K, Yen D H. Spontaneous perinephric hemorrhage from a hemorrhagic renal cyst.  Intern Med. 2010;  49 (19) 2189-2190
  • 17 Zerem E, Imamović G, Omerović S. Simple renal cysts and arterial hypertension: does their evacuation decrease the blood pressure?.  J Hypertens. 2009 October 2009;  27 (10) 2074-2078
  • 18 Pearl M, Klein S. Simple renal cyst and hypertension.  Ann Radiol (Paris). 1986;  29 (3-4) 421-423
  • 19 de Lichtenberg M H, Nielsen O S. Infected renal cyst simulating acute abdomen. Case report.  Acta Chir Scand. 1989;  155 (2) 135
  • 20 Ohkawa M, Motoi I, Hirano S, Okasho A, Hisazumi H. Biochemical and pharmacodynamic studies of simple renal cyst fluids in relation to infection.  Nephron. 1991;  59 (1) 80-83
  • 21 Fortner A, Taylor Jr A, Alazraki N, Datz F L. Advantage of indium-111 leukocytes over ultrasound in imaging an infected renal cyst.  J Nucl Med. 1986;  27 (7) 1147-1149
  • 22 Chicoskie C, Chaoui A, Kuligowska E, Dember L M, Tello R. MRI isolation of infected renal cyst in autosomal dominant polycystic kidney disease.  Clin Imaging. 2001;  25 (2) 114-117
  • 23 Akinci D, Akhan O, Ozmen M et al.. Long-term results of single-session percutaneous drainage and ethanol sclerotherapy in simple renal cysts.  Eur J Radiol. 2005;  54 (2) 298-302
  • 24 Newhouse J H, Pfister R C. Renal cyst puncture. In: Anthasoulis C A, Pfister R C, Greene R E, Roberson G H, eds. Interventional Radiology. Philadelphia: Saunders; 1982: 409-425
  • 25 Sandler C M. Renal cyst puncture and percutaneous drainage of perirenal fluid. In: Kadir S, ed. Current practice of interventional radiology. Philadelphia: Decker; 1991: 662-668
  • 26 Lang E K. Coexistence of cyst and tumor in the same kidney.  Radiology. 1971;  101 (1) 7-16
  • 27 Lang E K. The differential diagnosis of renal cysts and tumors. Cyst puncture, aspiration, and analysis of cyst content for fat as diagnostic criteria for renal cysts.  Radiology. 1966;  87 (5) 883-888
  • 28 Ljungberg B, Holmberg G, Sjödin J G, Hietala S O, Stenling R. Renal cell carcinoma in a renal cyst: a case report and review of the literature.  J Urol. 1990;  143 (4) 797-799
  • 29 Kleist H, Jonsson O, Lundstam S, Nauclér J, Nilson A E, Pettersson S. Quantitative lipid analysis in the differential diagnosis of cystic renal lesions.  Br J Urol. 1982;  54 (5) 441-445
  • 30 Kavoussi L R, Clayman R V, Mikkelsen D J, Meretyk S. Ureteronephroscopic marsupialization of obstructing peripelvic renal cyst.  J Urol. 1991;  146 (2) 411-414
  • 31 Lang E K. Renal cyst puncture and aspiration: a survey of complications.  AJR Am J Roentgenol. 1977;  128 (5) 723-727
  • 32 Zelch J, Lalli A F, Stewart B H, Daughtry J D. Complications of renal cyst exploration versus renal mass aspiration.  Urology. 1976;  7 (3) 244-247
  • 33 Clayman R V, Surya V, Miller R P, Reinke D B, Fraley E E. Pursuit of the renal mass. Is ultrasound enough?.  Am J Med. 1984;  77 (2) 218-223
  • 34 von Schreeb T, Arner O, Skovsted G, Wikstad N. Renal adenocarcinoma. Is there a risk of spreading tumour cells in diagnostic puncture?.  Scand J Urol Nephrol. 1967;  1 (3) 270-276
  • 35 Jacobsson L, Lindqvist B, Michaelson G, Bjerle P. Fluid turnover in renal cysts.  Acta Med Scand. 1977;  202 (4) 327-329
  • 36 Wahlqvist L, Grumstedt B. Therapeutic effect of percutaneous puncture of simple renal cyst. Follow-up investigation of 50 patients.  Acta Chir Scand. 1966;  132 (4) 340-347
  • 37 Ozgür S, Cetin S, Ilker Y. Percutaneous renal cyst aspiration and treatment with alcohol.  Int Urol Nephrol. 1988;  20 (5) 481-484
  • 38 Holmberg G, Hietala S O. Treatment of simple renal cysts by percutaneous puncture and instillation of bismuth-phosphate.  Scand J Urol Nephrol. 1989;  23 (3) 207-212
  • 39 Bean W J. Renal cysts: treatment with alcohol.  Radiology. 1981;  138 (2) 329-331
  • 40 Reiner I, Donnell S, Jones M, Carty H L, Richwood A M. Percutaneous sclerotherapy for simple renal cysts in children.  Br J Radiol. 1992;  65 (771) 281-282
  • 41 Raskin M M, Poole D O, Roen S A, Viamonte Jr M. Percutaneous management of renal cysts: results of a four-year study.  Radiology. 1975;  115 (3) 551-553
  • 42 Pfister R C, Schaffer D. Percutaneous ablation of renal cysts.  AJR Am J Roentgenol. 1979;  132 1031
  • 43 Gelet A, Sanseverino R, Martin X, Leveque J M, Dubernard J M. Percutaneous treatment of benign renal cysts.  Eur Urol. 1990;  18 (4) 248-252
  • 44 Phelan M, Zajko A, Hrebinko R L. Preliminary results of percutaneous treatment of renal cysts with povidone-iodine sclerosis.  Urology. 1999;  53 (4) 816-817
  • 45 Kim S H, Moon M W, Lee H J, Sim J S, Kim S H, Ahn C. Renal cyst ablation with n-butyl cyanoacrylate and iodized oil in symptomatic patients with autosomal dominant polycystic kidney disease: preliminary report.  Radiology. 2003;  226 (2) 573-576
  • 46 Choi Y D, Ham W S, Kim W T et al.. Clinical experience of single-session percutaneous aspiration and OK-432 sclerotherapy for treatment of simple renal cysts: 1-year follow-up.  J Endourol. 2009;  23 (6) 1001-1006
  • 47 Demir E, Alan C, Kilciler M, Bedir S. Comparison of ethanol and sodium tetradecyl sulfate in the sclerotherapy of renal cyst.  J Endourol. 2007;  21 (8) 903-905
  • 48 Egilmez H, Gok V, Oztoprak I et al.. Comparison of CT-guided sclerotherapy with using 95% ethanol and 20% hypertonic saline for managing simple renal cyst.  Korean J Radiol. 2007;  8 (6) 512-519
  • 49 Yamamoto K, Sakaguchi H, Anai H et al.. Sclerotherapy for simple cysts with use of ethanolamine oleate: preliminary experience.  Cardiovasc Intervent Radiol. 2005;  28 (6) 751-755
  • 50 Yoo K H, Lee S J, Jeon S H. Simple renal cyst sclerotherapy with acetic acid: our 10-year experience.  J Endourol. 2008;  22 (11) 2559-2563
  • 51 Xu X X, Du Y, Yang H F, Zhang Q, Li Y, Zee C S. CT-guided sclerotherapy with ethanol concentration monitoring for treatment of renal cysts.  AJR Am J Roentgenol. 2011;  196 (1) W78-82
  • 52 Fontana D, Porpiglia F, Morra I, Destefanis P. Treatment of simple renal cysts by percutaneous drainage with three repeated alcohol injection.  Urology. 1999;  53 (5) 904-907
  • 53 Delakas D, Karyotis I, Loumbakis P, Daskalopoulos G, Charoulakis N, Cranidis A. Long-term results after percutaneous minimally invasive procedure treatment of symptomatic simple renal cysts.  Int Urol Nephrol. 2001;  32 (3) 321-326
  • 54 Paananen I, Hellström P, Leinonen S et al.. Treatment of renal cysts with single-session percutaneous drainage and ethanol sclerotherapy: long-term outcome.  Urology. 2001;  57 (1) 30-33
  • 55 Zerem E, Imamovíc G, Omerovíc S. Symptomatic simple renal cyst: comparison of continuous negative-pressure catheter drainage and single-session alcohol sclerotherapy.  AJR Am J Roentgenol. 2008;  190 (5) 1193-1197
  • 56 Camacho M F, Bondhus M J, Carrion H M, Lockhart J L, Politano V A. Ureteropelvic junction obstruction resulting from percutaneous cyst puncture and intracystic isophendylate injection: an unusual complications.  J Urol. 1980;  124 (5) 713-714
  • 57 Peyromaure M, Debré B, Flam T A. Sclerotherapy of a giant renal cyst with povidone-iodine.  J Urol. 2002;  168 (6) 2525
  • 58 Madeb R, Feldman P A, Knopf J, Rub R, Erturk E, Yachia D. Povidone-iodine sclerotherapy is ineffective in the treatment of symptomatic renal cysts.  J Endourol. 2006;  20 (6) 402-404
  • 59 Meng M V, Grossfeld G D, Stoller M L. Renal carcinoma after laparoscopic cyst decortication.  J Urol. 2002;  167 (3) 1396
  • 60 Nieh P T, Bihrle III W. Laparoscopic marsupialization of massive renal cyst.  J Urol. 1993;  150 (1) 171-173
  • 61 Morgan Jr C, Rader D. Laparoscopic unroofing of a renal cyst.  J Urol. 1992;  148 (6) 1835-1836
  • 62 Hulbert J C. Laparoscopic management of renal cystic disease.  Semin Urol. 1992;  10 (4) 239-241
  • 63 Amar A D, Das S. Surgical management of benign renal cysts causing obstruction of renal pelvis.  Urology. 1984;  24 (5) 429-433
  • 64 Atug F, Burgess S V, Ruiz-Deya G, Mendes-Torres F, Castle E P, Thomas R. Long-term durability of laparoscopic decortication of symptomatic renal cysts.  Urology. 2006;  68 (2) 272-275
  • 65 Roberts W W, Bluebond-Langner R, Boyle K E, Jarrett T W, Kavoussi L R. Laparoscopic ablation of symptomatic parenchymal and peripelvic renal cysts.  Urology. 2001;  58 (2) 165-169
  • 66 Hoenig D M, McDougall E M, Shalhav A L, Elbahnasy A M, Clayman R V. Laparoscopic ablation of peripelvic renal cysts.  J Urol. 1997;  158 (4) 1345-1348
  • 67 Hulbert J C, Hunter D, Young A T, Castaneda-Zuniga W. Percutaneous intrarenal marsupialization of a perirenal cystic collection—endocystolysis.  J Urol. 1988;  139 (5) 1039-1041
  • 68 Kang Y, Noble C, Gupta M. Percutaneous resection of renal cysts.  J Endourol. 2001;  15 (7) 735-738 discussion 738-739
  • 69 Heikkilä J, Taskinen S, Rintala R. Urinomas associated with posterior urethral valves.  J Urol. 2008;  180 (4) 1476-1478
  • 70 Umbreit E C, Routh J C, Husmann D A. Nonoperative management of nonvascular grade IV blunt renal trauma in children: meta-analysis and systematic review.  Urology. 2009;  74 (3) 579-582
  • 71 Boone T B, Gilling P J, Husmann D A. Ureteropelvic junction disruption following blunt abdominal trauma.  J Urol. 1993;  150 (1) 33-36
  • 72 Bennett L N, Voegeli D R, Crummy A B, McDermott J C, Jensen S R, Sollinger H W. Urologic complications following renal transplantation: role of interventional radiologic procedures.  Radiology. 1986;  160 (2) 531-536
  • 73 Alkibay T, Karaoğlan U, Gündoğdu S, Bozkirli I. An unusual complication of extracorporeal shock wave lithotripsy: urinoma due to rupture of the renal pelvis.  Int Urol Nephrol. 1992;  24 (1) 11-14
  • 74 Portela L A, Patel S K, Callahan D H. Pararenal pseudocyst (urinoma) as complication of percutaneous nephrostomy.  Urology. 1979;  13 (5) 570-571
  • 75 Rajendran L J, Rao M S, Bapna B C et al.. Peripelvic extravasation and formation of perinephric urinoma after cystoscopy.  Urology. 1980;  16 (2) 199-201
  • 76 Oefelein M G. Delayed presentation of urinoma after radiofrequency ablation-assisted laparoscopic partial nephrectomy.  J Endourol. 2006;  20 (1) 27-30
  • 77 Testa A C, Gaurilcikas A, Licameli A et al.. Sonographic imaging of urinoma.  Ultrasound Obstet Gynecol. 2009;  33 (4) 490-491
  • 78 Titton R L, Gervais D A, Hahn P F, Harisinghani M G, Arellano R S, Mueller P R. Urine leaks and urinomas: diagnosis and imaging-guided intervention.  Radiographics. 2003;  23 (5) 1133-1147
  • 79 Cullmann H J, Prosinger M. Necrosis of the allograft ureter—evaluation of different examination methods in early diagnosis.  Urol Int. 1990;  45 (3) 164-169
  • 80 Smith T P, Hunter D W, Letourneau J G et al.. Urine leaks after renal transplantation: value of percutaneous pyelography and drainage for diagnosis and treatment.  AJR Am J Roentgenol. 1988;  151 (3) 511-513
  • 81 Kinnaert P, Hall M, Janssen F, Vereerstraeten P, Toussaint C, Van Geertruyden J. Ureteral stenosis after kidney transplantation: true incidence and long-term followup after surgical correction.  J Urol. 1985;  133 (1) 17-20
  • 82 Maillet P J, Pelle-Francoz D, Leriche A, Leclercq R, Demiaux C. Fistulas of the upper urinary tract: percutaneous management.  J Urol. 1987;  138 (6) 1382-1385
  • 83 Anderson H, Alyas F, Edwin P J. Intra-urinoma rendezvous using a transconduit approach to re-establish ureteric integrity.  Cardiovasc Intervent Radiol. 2005;  28 (1) 95-97
  • 84 Horikami K, Matsuoka Y, Nagaoki K et al.. Treatment of post-traumatic urinoma by means of selective arterial embolization.  J Vasc Interv Radiol. 1997;  8 (2) 221-224
  • 85 Pinto I T, Chimeno P C. Treatment of a urinoma and a post-traumatic pseudoaneurysm using selective arterial embolization.  Cardiovasc Intervent Radiol. 1998;  21 (6) 506-508
  • 86 Spurlock J W, Burke T W, Dunn N P, Heller P B, Collins H S, Park R C. Calyceal rupture with perirenal urinoma in a patient with cervical carcinoma.  Obstet Gynecol. 1987;  70 (3 Pt 2) 511-513
  • 87 Lang E K, Glorioso III L. Management of urinomas by percutaneous drainage procedures.  Radiol Clin North Am. 1986;  24 (4) 551-559
  • 88 Kobayashi K, Censullo M L, Rossman L L, Kyriakides P N, Kahan B D, Cohen A M. Interventional radiologic management of renal transplant dysfunction: indications, limitations, and technical considerations.  Radiographics. 2007;  27 (4) 1109-1130
  • 89 Aning J J, Stott M A, Watkinson A F. Glue ablation of a late-presentation urinary fistula after partial nephrectomy.  Br J Radiol. 2009;  82 (984) e246-e248

Michael DarcyM.D. 

Mallinckrodt Institute of Radiology

510 South Kingshighway Blvd., St. Louis, MO 63110

Email: darcym@mir.wustl.edu