Isolated renal hydatid disease: laparoscopic approach to an uncommon entity (case report)

Abstract

Hydatidosis is a parasitic disease, endemic in various parts of the World. It frequently involves liver and lungs and, rarely, other organs as well. Isolated renal hydatidosis is a rare entity that accounts for less than 3% of all hydatid cases. Surgery remains the mainstay of treatment. We hereby report a case of isolated renal hydatid cyst involving left kidney that was managed by laparoscopic approach.

Primary extra hepatic hydatid cyst of the kidney: A case report

“…Sterilization of the cyst by intracystic injection of a scolicidal solution and isolation of its contents with impregnated compresses are intraoperative trends to avoid projection of scolex and daughter vesicles, which are at the origin of peritoneal infestation. 8 …”

“…Renal hydatic cyst must be differentiated from benign cysts, tuberculosis, abscesses, or complex benign cysts like renal lymphangioma, angiomyolipoma and particularly malignancies including renal cell carcinoma. 8 …”

Isolated renal hydatid cyst in a ten-year-old female child: A rare case report

“…A diagnosis is difficult to make; sometimes a suspicion only arises during surgery, and pathologic confirmation completes the diagnosis. 3 , 8 , 9 …”

“…Treatment modalities for renal hydatid cysts include medical management, percutaneous procedures, and surgical intervention using open or minimally invasive approaches. 9 Surgical intervention is the main method of treatment and can take the form of complete removal of the cyst with pericystectomy or partial or complete nephrectomy, depending on the involvement and damage of the remaining functional parenchyma. 1 , 4 In our case, the cyst was superficial with minimal involvement of the renal parenchyma and pericystectomy was sufficient.…”

“…Drug treatment is used prophylactically in the perioperative period to prevent spread of cyst contents through intraoperative spillage. 9 Recommended therapy includes one-month pre- and post-operative albendazole treatments, which can be continued for up to six months. 4 , 10 Our patient initially received albendazole preoperatively and continued the treatment postoperatively.…”