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60y old male with chronic lt flank pain from 6 month ago      6/18/2011

 60y old male with chronic lt flank pain from 6 month ago , previous open stone surgery on left kidney due to stones.
underwent ct scan which was negative for stone but showed parapelvic anterior renal complex cyst.
on contrast enhanced ct there was an area suspicious to enhancement inside the upper anterior cyst wall and the cyst was not filled with contrast.

laparoscopic exploration of left  kidney revealed simple cystic lesion, frozen section of cyst wall and fluid cytology were negative for malignancy, cyst  excision was performedand kidney was saved.

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