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Single-Session Alcohol-Retention Sclerotherapy for Simple Renal Cysts: Comparison of 2- and 4-Hr Retention Techniques

Yih-Huie Lin1,2, Huay-Ben Pan1,2, Huei-Lung Liang1,2, Hsiao-Min Chung2,3, Chiung-Yu Chen1,2, Jer-Shyung Huang1,2, Kang-Ju Chou2,3, Clement K.-H. Chen1,2, Pin-Hong Lai1,2 and Chien-Fang Yang1,2

1 Department of Radiology, Kaohsiung Veterans General Hospital, 386 Ta-Chung First Rd., Kaohsiung, Taiwan 813, ROC.
2 National Yang-Ming University, Taipei, Taiwan.
3 Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.



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  		Fig. 1A —56-year-old woman (initial cyst diameter, 11 cm) with gross hematuria 10 days after sclerotherapy. Sonographic image reveals internal echo (arrows) within residual cyst (7 cm) of left kidney.

 


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  		Fig. 1B —56-year-old woman (initial cyst diameter, 11 cm) with gross hematuria 10 days after sclerotherapy. Excretory pyelogram shows mass shadow (arrowheads) in upper pole of left kidney with normal excretory function. Arrow = renal pelvis.

 


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  		Fig. 1C —56-year-old woman (initial cyst diameter, 11 cm) with gross hematuria 10 days after sclerotherapy. Retrograde pyelogram reveals communication of renal calyx with ablated cyst. No structural destruction of collecting system was seen.

 


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  		Fig. 2A —Sonographic images of left kidney in 57-year-old woman. Image shows 10-cm renal cyst (arrow) in right kidney.

 


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  		Fig. 2B —Sonographic images of left kidney in 57-year-old woman. Follow-up image at 2 months after sclerotherapy shows residual cyst (arrow) is 4 cm in diameter.

 


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  		Fig. 2C —Sonographic images of left kidney in 57-year-old woman. Follow-up image obtained 21 months after procedure reveals renal cyst has disappeared completely.

 


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  		Fig. 3A —71-year-old man with peripelvic cyst. Sonographic image shows 8-cm peripelvic cyst (arrow) with mild to moderate hydronephrosis (arrowhead) of left kidney.

 


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  		Fig. 3B —71-year-old man with peripelvic cyst. Excretory pyelogram showed compressing mass effect in lower pole of left kidney with mild dilatation of renal pelvis (arrow) and lower renal calyx (arrowhead).

 


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  		Fig. 3C —71-year-old man with peripelvic cyst. Sonographic image obtained after aspiration of cystic fluid shows peripelvic cyst opacified by contrast medium.

 


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  		Fig. 3D —71-year-old man with peripelvic cyst. Sonographic image shows complete disappearance of peripelvic cyst without any residual hydronephrosis of left kidney.

 

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