Transabdominal Sonographic Assessment of Renal Cortical Cysts among Patients Presenting with Acute Abdominal Pain
Research Article
DOI:
https://doi.org/10.31580/nz7mxz38Keywords:
Abdominal pain, Cyst, Pain, Renal, UltrasoundAbstract
Background: Assessment of renal cortical cysts in patients presenting with acute abdominal pain can help identify individuals at increased risk for significant renal pathology. This evaluation provides valuable insights, aiding clinicians in making informed decisions and implementing timely management strategies.
Objective: The primary objective of this study was to assess renal cortical cysts among patients presenting with acute abdominal pain at a Tertiary Care Hospital, Lahore. The secondary objective of this study was to find the association of pattern of pain with clinical symptoms (fever, nausea, vomiting) and sonographic features of cysts (Number, type, texture, margins, echogenicity and posterior enhancement).
Methodology: An Analytical cross-sectional study was conducted at a Tertiary Care Hospital, Lahore from September to December 2024. All the patients who fulfilled the inclusion/exclusion criteria were enrolled. Detailed history was taken from all the patients, including age, gender, pattern of pain and any other pathologic condition. IBM Statistical Package for Social Science (SPSS) version 26 was used to enter and analyze the data. Data analysis included frequencies and percentages for qualitative data. Outcomes were reported with 95%confidence intervals, and p-values < 0.05 were considered statistically significant. Data were collected using a structured proforma and patient sonographic reports.
Results: Analytical cross-sectional study of 288 individuals with renal cortical cysts found that most patients were male (77.8%) and aged 36-60 (49.0%). Radiating pain was associated with multiple cysts (18.8%), complex cysts (2.8%), and heterogenous texture (2.1%), while non-radiating pain was more likely linked to single cysts (81.3%), simple cysts (97.2%), and homogenous texture (97.9%).
Conclusion: A study on renal cortical cysts found most patients were middle-aged males, with common symptoms including nausea, fever, and vomiting, and risk factors such as smoking, diabetes, and hypertension. Radiating pain was linked to multiple, complex, and heterogeneous cysts, while non-radiating pain was associated with simple, single, and homogeneous cysts.
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