Diagnosis and Surgical Treatment of Renal Hydatid Disease: a Retrospective Analysis of 30 Cases

Abstract

Echinococcosis (CE) is an infection which is caused by the larval stage of a tapeworm and is endemic in stockbreeding regions of developing countries. The kidney is the most commonly affected organ in the urinary tract. However, reports on renal hydatid disease are limited in the literature, and usually there are no specific clinical characteristics and promising operative methods. The purpose of this study is to assess the most appropriate surgical technique for the patient with urinary tract CE. We retrospectively analyzed thirty patients with renal hydatid cysts who received different surgical treatments in the urology department of the First Affiliated Hospital of Xinjiang Medical University from February 1985 to April 2010. Twenty patients were males and ten were females. The diagnostic accuracy was 74%, 87.5%, and 66.6% respectively by using of ultrasound, CT, and laboratory tests. Thirty patients were followed up for 1–15 years after surgery. One patient experienced a recurrence of renal CE. The ultrasound, CT, and immunological tests are an important means of diagnosis. The surgical treatment principle of renal hydatid should be based on residual renal function, hydatid cyst size, number, location, and surgical techniques to determine the surgical plan to retain the renal function.

Disseminated peritoneal lesion after laparoscopic removal of renal hydatid cyst

“…Обычно максимальный титр антител отмечается при эхинокок-ковом поражении печени [14]. В настоящее время отсутствуют серологические методы диагностики со 100% чувствительностью и специфичностью по отношению к антителам к E. granulosus [3,[12][13][14].…”

“…Операцией выбора является резекция почки с идеальной эхинококкэктомией [5,6,12]. Нефрэктомия может быть выполнена лишь при отсутствии возможности сохранения органа [5,6].…”

Genitourinary Hydatid Disease: A Review

“…Heart, spleen, kidney, and brain constitute only 10% of cases [8][9][10][11][12]. Genitourinary tract infestation is rare and kidneys are the most commonly affected, constituting for 1-5% of all cases [10,12,13].…”

“…Heart, spleen, kidney, and brain constitute only 10% of cases [8][9][10][11][12]. Genitourinary tract infestation is rare and kidneys are the most commonly affected, constituting for 1-5% of all cases [10,12,13]. Genitourinary hydatid (GUH) patients are usually asymptomatic on rupture of the cyst and are diagnosed many years later until being evaluated for other symptoms [7,14].…”

“…[7] Hydatid cysts (HC) in the peritoneal cavity or pelvis are usually a result of spontaneous rupture from a primary liver focus or following surgical inoculation [10,20]. Pelvic and retrovesical locations are considered primary if no other site is affected [6,10,12,21]. Mostly pelvic HC coexist with hepatic HC, detected before or on simultaneously, hence most of these cysts are secondary [10,12,22].…”