Hydatid Disease of the Urinary Tract

Sinner, W; Hellström, Mikael; Kagevi, I; Norlent, B.J.

doi:10.1016/s0022-5347(17)36153-0

Cited by 70 publications

(39 citation statements)

References 13 publications

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“…A preoperative diagnosis is important to take the necessary intraoperative precautions, such as delicate manipulations, use of abdominal pads soaked with hypertonic saline to reduce the risk of dissemination during surgery and to prevent recurrence. 24 Four of our patients underwent nephrectomy (2 patients in view of massive parenchymal replacement and the other 2 with suspicion of malignancy). Partial nephrectomy was feasible in 2 patients.…”

Section: Discussionmentioning

confidence: 99%

Isolated renal hydatid disease in a non-endemic country: a single centre experience

Mokhtar

Sayyah

Al‐Hindi

et al. 2012

CUAJ

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Objective: Isolated renal hydatid disease (HD) is rare in nonendemic countries. Clinical and radiological suspicion warrants appropriate serological tests, preoperative treatment and intra-operative precautions. We present a tertiary care centre experience of isolated renal HD in a non-endemic country. Methods: We reviewed the medical records of patients with HD treated in the past 20 years. We identified patients with the definitive diagnosis of isolated renal HD and described their management. Results: Of the 119 cases with HD, 6 were found to have isolated renal involvement (5%). Their median age was 46.5 (28-70) years. Five patients presented with flank pain and 1 had an incidentally discovered renal mass. Radiologic investigations raised the suspicion of possible HD in 4 cases, while 2 cases were diagnosed as renal tumours. Computerized tomography showed complex renal cyst in 4, solid renal mass with heterogonous enhancement in 2 and calcification in 5. Eosinophilia and indirect hemagglutination test (IHA) were positive in 3 of the 4 suspected cases. Three cases were treated as renal tumours, while 3 were managed as HD. Four cases had total nephrectomy and 2 had partial nephrectomy. Histopathology revealed that all cases had renal HD. Patients were followed for a median of 7.3 (0.4-11.3) years with no evidence of recurrence. Conclusions: Isolated renal HD is a challenging preoperative diagnosis in non-endemic countries. The definitive diagnosis is only possible by histopathology. Retrospectively, HD mimicked renal tumours in half the cases and should be considered in the differential diagnosis of renal space occupying lesions. RésuméObjectif : L'hydatidose rénale isolée est une maladie rare dans les pays où elle n'est pas endémique. Des éléments cliniques et radiologiques suspects justifient des tests sérologiques appropriés, un traitement préopératoire et des précautions peropératoires. Nous présentons l'expérience d'un centre de soins tertiaires avec l'hydatidose rénale isolée dans un pays où cette maladie n'est pas endémique.Méthodologie : Nous avons passé en revue les dossiers médi-caux de patients atteints d'hydatidose au cours des 20 dernières années. Nous avons cerné des patients ayant reçu un diagnostic final d'hydatidose rénale isolée et nous décrivons leur traitement. Résultats : Sur les 119 cas d'hydatidose, 6 avaient une atteinte rénale isolée (5 %). L'âge médian de ces patients était de 46,5 ans (28 à 70). Cinq patients présentaient des douleurs au flanc, et un patient présentait une masse rénale découverte fortuitement. Des examens radiologiques ont fait hausser les soupçons quant à une hydatidose dans quatre cas, alors que dans les deux autres cas, on a diagnostiqué une tumeur rénale. La TDM a montré un kyste rénal complexe chez quatre patients, une masse rénale solide avec densification hétérogène dans deux cas et des calcifications dans cinq cas. L'éosinophilie et le test d'hémagglutination passive étaient positifs dans trois des quatre cas soupçonnés. Trois cas ont été traités comm...

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Section: Discussionmentioning

confidence: 99%

Isolated renal hydatid disease in a non-endemic country: a single centre experience

Mokhtar

Sayyah

Al‐Hindi

et al. 2012

CUAJ

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“…Kidney-sparing surgery (removal of hydatid cyst with pericystectomy) is possible in most cases (75%). Nephrectomy (25% of cases) must be reserved for destroyed kidney [5] . Very few cases of laparoscopic removal of renal hydatid are reported.…”

Section: Discussionmentioning

confidence: 99%

A Very Rare Case Of Primary Renal Hydatidosis

Saha¹,

Majhi²,

Das³

et al. 2014

IOSRJDMS

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“…Trials have shown the efficacy of the benzimidazole compound albendazole [1,[63][64][65]. Preoperative therapy with albendazole (10-15 mg/kg per day) with or without praziquantel (50 mg/kg) for 4 weeks before surgery kills the scolices, decreases cyst antigenicity, renders the cyst inactive, reduces cyst wall tension and reduces the risk of intraoperative spillage [7,66]. Cysts become smaller, osmotic pressure falls and it becomes softer and floppier and cyst membrane may separate.…”

Section: Medical Therapymentioning

confidence: 99%

“…The surrounding tissue must be protected by covering with pads soaked in scolicidal solutions and care must be taken to ensure that no spillage occurs, to prevent seeding and secondary infestation [1]. Scolicidal agents used include 30% sodium chloride, 10% povidone iodine, 0.5% silver nitrate, or 95% ethanol [7,55,66]. During surgery, the cysts should be packed on all sides with gauzes soaked in scolicidal solutions like 20% normal saline solution, 1% iodine, 10% cetrimide, 10% povidone-iodine, or 0.5% silver nitrate [7,73].…”

Section: Surgerymentioning

confidence: 99%