Hydatid disease caused by Echinococcus granulosus involves liver in 75 % of cases and lung in 15 % of cases. But primary renal involvement without liver and lung involvement is a very rare event. Among these patients of renal hydatidosis, hydatiduria is seen only in 10-20 % cases, which is considered to be pathognomonic. We report a case of echinococcosis, primarily involving the right kidney, presenting with clinical history of hydatiduria.

Non-necrotizing epithelioid granuloma has been described within the stroma of malignancies like carcinomas of the breast and colon, seminoma, and Hodgkin's lymphoma. They are designated as sarcoid-like reaction, in absence of any evidence of systemic sarcoidosis. But granulomatous reaction in association with renal cell carcinoma (RCC) is uncommon, with only few published reports in the literature. This reaction may have some prognostic importance also. We describe a rare case of conventional (clear cell) RCC associated with epithelioid granulomas within the tumor parenchyma, in a 42-year-old lady without any evidence of systemic sarcoidosis.

A 55 yr. old woman attended emergency with acute intestinal obstruction. The patient underwent emergency surgical procedure of intestinal resection after straight X-ray,few haematological and biochemical investigations. On gross examination ileal stricture due to mass in ileocaecal region with mesenteric lymph nodes found which on histological examination came out to be a squamous cell carcinoma with metastatic deposit in lymph node. The patient had a hysterectomy done 3&1/2 years back for Stage IIB squamous cell carcinoma of cervix for which she received chemoradiation.The intestinal obstruction very likely to be a metastatic presentation. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16666 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 439-441

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