Localized cystic disease of the kidney: A rare diagnosis of this uncommon condition in a child

Is It Always Wilms’ Tumor? Localized Cystic Disease of The Kidney in An Infant: An Extremely Rare Case Report And Review of The Literature

“…Proper diagnosis will ensue proper conservative management with regular sequential imaging follow up. 1 , 11 Lack of awareness of the disease and its specific clinical and imaging characteristics among adult-treating and pediatric-treating physicians may lead to misdiagnosis and mistreatment including unnecessary nephrectomy, as in our case.…”

“…Localized Cystic Disease of the Kidney is an extremely rare benign entity in the pediatric population. 1 It is so rare that it was not included in the consensus statement of an international working group on imaging of kidney cysts and cystic kidney diseases in children. 2 According to our knowledge, our patient is the 11 th pediatric case reported in the international literature and he is the second youngest of all ( Table 1 ).…”

“… 2 According to our knowledge, our patient is the 11 th pediatric case reported in the international literature and he is the second youngest of all ( Table 1 ). 1 , 3-10 …”

“…Those would include flank, intermittent or acute abdominal pain, palpable abdominal mass, hematuria or proteinuria and hypertension. 1 , 3-10 , 11 , 13 Importantly, it is not characterized by renal insufficiency. 11 , 12 …”

“…Among them, Localized Cystic Disease of the Kidney (LCDK) represents one of the most infrequent diagnosis, with few cases described in the adult literature and even fewer described in children. 1 Thorough knowledge of this condition is mandatory in order to avoid mistreatment that many times leads to unnecessary surgery. We report such a case in a 6-month-old child and review the relevant literature.…”