
Renal Cyst Masquerading as a Palpable `Gallbladder'
B. Nagesh Raghavendra, MD;
Marjorie A. Ambos, MD
New York University Medical Center
JAMA. 1981;246(2):125.
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To the Editor.—
It is rare for a lower pole cyst of the right kidney to appear to be a palpable mass in the right upper quadrant of the abdomen. We recently encountered such a case and thought it worthwhile to report.
A tennis ball-sized cystic mass clinically thought to be a distended gallbladder was palpated in the right upper quadrant of the abdomen of a 62-year-old man who was recovering from recent cardiac surgery. The mass was nontender and moved freely with respiration. The liver function test results were normal except for slight elevation of serum lactic dehydrogenase level. Sonography identified the palpable mass as a cyst arising from the lower pole of a tilted right kidney (Figure). The mass met all the sonographic criteria described for the diagnosis of a simple renal cyst.1
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