Remission of hypertension after treatment of giant simple renal cyst: a case report

Ahallal, Y.; Khallouk, Abdelhak; Tazi, Mohammed Fadl; Tazi, Elmehdi; Elfassi, Mohammed Jamal; Farih, Moulay Hassan

doi:10.1186/1757-1626-2-9152

Cited by 5 publications

(9 citation statements)

References 8 publications

(13 reference statements)

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“…The literature has also shown that the renin-angiotensin-aldosterone system is significantly more active in hypertensive patients with polycystic kidney disease than in comparable patients with essential hypertension. 20 Normalization of blood pressure and a decreased plasma renin activity ratio were reported after surgical removal of cysts, or cyst decompression by percutaneous aspiration, 4,16,17 and this supports the hypothesis that SRCs may cause hypertension, rather than hypertension causing SRCs. Therefore, the presence of SRCs and increased number or larger size of SRCs would worsen the renal ischemia owing to the more severe effect of cyst expansion.…”

Section: Discussionmentioning

confidence: 70%

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Multiple and large simple renal cysts are associated with prehypertension and hypertension

Lee

Yang

et al. 2013

Kidney International

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Although simple renal cysts are thought to be related to hypertension, no reports have examined the relationship between simple renal cysts and prehypertension. Here, we evaluated the effects of simple renal cysts on prehypertension and hypertension and the role of serum renin levels in the cyst-related prehypertension/hypertension in adults. A total of 14,995 patients were enrolled and divided into normotension, prehypertension, and hypertension groups. Simple renal cysts were classified into different categories based on number (1 vs. ≥ 2 cm) and size (<2 vs. ≥ 2 cm). In multivariate analysis, simple renal cysts were independently related to prehypertension/hypertension. Two or more simple renal cysts or cyst of ≥ 2 cm were independently associated with prehypertension/hypertension. However, the association between cyst of ≥ 2 cm and prehypertension/hypertension disappeared after further adjusting for serum renin level in an exposure-matched subgroup analysis. Thus, the presence of two or more simple renal cysts and cyst of ≥ 2 cm were the important determinants of prehypertension and hypertension in adults. One possible mechanism of cyst-related prehypertension/hypertension may be related to an increased serum renin level. We recommend close monitoring of blood pressure routinely among patients with two or more simple renal cysts.

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Section: Discussionmentioning

confidence: 70%

“…16 Recently, a case report of a 25-year-old woman exhibited hypertension remission by laparoscopic excision of a giant right renal cyst (15 cm in greatest diameter). 17 Finally, all the study subjects are of Taiwanese À Chinese ethnicity, and the effects of SRCs on prehypertension and hypertension need further studies in other populations.…”

Section: Discussionmentioning

confidence: 99%

Multiple and large simple renal cysts are associated with prehypertension and hypertension

Lee

Yang

et al. 2013

Kidney International

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“…Similarly, Lee et al [21] found the presence of SRCs increased SBP by 2.38 mmHg, increased DBP by 1.61 mmHg, and multiple cysts and large cysts were closely related to prehypertension and hypertension in adults. Some reports presented that the surgical intervention of SRCs resulted in a reduction of blood pressure [22,23]. Another research indicated that SRCs were associated with increased arterial stiffness [24].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, risk factors and clinical characteristics of renal dysfunction in Chinese outpatients with growth simple renal cysts

Deng

et al. 2021

Int Urol Nephrol

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Background Researchers have proved that simple renal cysts (SRCs) might be correlated with renal dysfunction, but it is still controversial. Thus, we conducted clinical research study with large sample size and long-term follow-up to clarify the relationship between SRCs and renal dysfunction. Methods A total of 571 SRCs patients in outpatients of nephrology department were included, we investigated the clinical characteristics of growth SRCs compared with non-growth SRCs, evaluated the incidence of renal dysfunction in SRCs and explored the risk factors of renal dysfunction in growth SRCs. Results The mean baseline age was 51.31 ± 14.37 years in the whole cohort, ranging from 19 to 79 years, and 57.6% of them were male. The median follow-up duration was 3 years, ranging from 1 to 10 years. In addition, the final maximum diameter increased 1 mm (2.74%) per year. Patients in growth SRCs group tented to have higher percentage of hypertension, hematuria, large cyst and multiple cysts compared with non-growth SRCs group. The prevalence of renal dysfunction was 15.6% after the follow-up, and the prevalence of renal dysfunction was about 10 times higher in growth SRCs group than non-growth SRCs group (23.3% vs. 2.4%). Renal dysfunction was significantly associated with age, female, total cholesterol, diastolic blood pressure, final maximum diameter and yearly change in maximum diameter in growth SRCs. Conclusions SRCs were closely related to the decline of renal function, we recommend close follow-up for growth SRCs.

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“…In particular, for patients who have SRCs with hypertension, their blood pressure decreased or normalized after removal of a SRC by surgical resection, puncture, and drainage. 11,12,22 The above studies suggested a relationship between a SRC and hypertension. Similarly, our study found that a SRC significantly increased the risk of hypertension.…”

Section: Discussionmentioning

confidence: 92%

Simple renal cyst as an independent risk factor for hypertension

Zhou

Jia

et al. 2022

J of Clinical Hypertension

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Remission of hypertension after treatment of giant simple renal cyst: a case report

Cited by 5 publications

References 8 publications

Multiple and large simple renal cysts are associated with prehypertension and hypertension

Multiple and large simple renal cysts are associated with prehypertension and hypertension

Prevalence, risk factors and clinical characteristics of renal dysfunction in Chinese outpatients with growth simple renal cysts

Simple renal cyst as an independent risk factor for hypertension

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