Primary hydatid cyst looked like renal cell carcinoma: case report

Imran, Mohamed; Mhanna, Tarik; Aynaou, Mohammed; Alaoui, Wassim mhammedi; Ouraghi, Abdelghani; Barki, Ali

doi:10.1093/jscr/rjaa231

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…The fact that the cysts were confined to the kidneys made differential diagnosis with renal cystic malignancy more difficult. Indeed, most of the time it is hard to distinguish a hydatid cyst from a cystic renal tumor based on radiological findings, as many other authors were confronted with this diagnostic problem [ 7 , 8 ]. ELISA is a sensible diagnostic test and is also useful in disease monitoring after surgical treatment, however inactive cysts or active cysts that are not eroded or leaking can illicit little to none immune response from the host resulting in a negative test [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral renal hydatid disease associated with complex urolithiasis: A case report

Alouane¹,

Oueslati²,

Bedoui³

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Bilateral renal hydatid disease associated with complex urolithiasis: A case report

Alouane¹,

Oueslati²,

Bedoui³

et al. 2023

International Journal of Surgery Case Reports

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“…Many cases of isolated RHCs being misdiagnosed have been reported and operated as renal tumors in the literature. [14][15][16] The challenge is to avoid the spillage of the content of the cyst.…”

Section: Discussionmentioning

confidence: 99%

“…(2) The patient had a history of living in a pastoral area in Xinjiang for many years, but the place of long‐term residence did not belong to the above‐mentioned high incidence area, so the diagnosis was easily missed; (3) In our case, the CT showed a cyst Bosniak IV according to the modified Bosniak Classification of Cystic Renal Masses, 13 which was difficult to differentiate from cystic renal cell carcinoma. Many cases of isolated RHCs being misdiagnosed have been reported and operated as renal tumors in the literature 14–16 . The challenge is to avoid the spillage of the content of the cyst.…”

Section: Discussionmentioning

confidence: 99%

Renal hydatid cyst mimicked cystic renal cell carcinoma: A case report

Wei

Tian

Diao

et al. 2022

Precision Medical Sciences

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Hydatid cyst (HC) is a zoonotic parasitic disease in agricultural and pastoral areas while renal involvement without liver and lung hydatid is both less common in clinical practice and rarely described in literature. We present a case of a 40‐year‐old male from Xinjiang who complained of flank pain in the right with oliguria. Robot‐assisted laparoscopic exploration, conversion to open laparotomy and excision of internal capsule in right kidney were performed. Finally, a typical renal HC was diagnosed after complementary examinations. Isolated renal HC is very rare and can be misinterpreted as a cystic renal cell carcinoma pre‐operatively.

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“… Serology tests can be utilized to confirm results of radiology imaging in cases of hydatid cyst of the kidney [51].…”

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confidence: 99%

“… With regard to their case ultrasound scan and CT scan demonstrated an atypical cyst that was classified as Bosniak IV according to the modified Bosniak classification of cystic kidney masses. Magnetic resonance imaging (MRI) scan is useful for assessing type IV Bosniak cysts in order to differentiate between pseudo-tumoral hydatid cysts and cystic renal carcinoma but MRI scan could be inconclusive [51].…”

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confidence: 99%

Hydatid Cyst of the kidney and Ureter: A Review and Update of the Literature

Venyo¹

2021

JCRR

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Echinococcal (Hydatid) cyst of the kidney is a very uncommon disease which is sporadically reported in Echinococcal endemic areas of the world as well it tends to be reported in non-endemic areas in view of global travel on extremely rare occasions. Hydatid cyst of the kidney could manifest with non-specific symptoms including: loin/flank pain or discomfort; abdominal pain; a mass within the loin or abdomen; hydatiduria; abdominal distension; weight loss; other non-specific symptoms. A history of residence in or having travelled from an echinococcal endemic area and having been in contact with animals including dogs does play an important role in alerting the clinician regarding the possibility of Echinococcal disease is useful. The general and systematic examinations could be normal but tenderness within the loin and tenderness in the upper abdomen could be found which may or may not be associated with a palpable mass within the loin or upper abdomen. The results of routine haematology and biochemistry blood tests could be normal except at times there could be eosinophilia. Urinalysis could show hydatiduria. A positive Casoni intradermal test results or a positive Echinococcal serology test would tend to alert clinicians about Echinococcal disease. Radiology imaging of the abdomen and renal tract including ultrasound scan, computed tomography scan and magnetic resonance scan, of the abdomen would show the cyst (most commonly) or cysts, (occasionally) within the kidney as well the size of the cyst and the amount of normal looking renal parenchyma and presence of daughter cysts could be demonstrated. Furthermore, if there is hydronephrosis or hydroureter the radiology images would reveal it. Treatment of hydatid cyst of the kidney does entail treatment with a combination of: Cycles of anti-scolicidal medications of which albendazole is the commonest used medicament and. Surgical treatment could include: Laparoscopic Drainage of the hydatid cyst and peri-cystectomy. Laparoscopic partial nephrectomy. Laparoscopic nephrectomy excising the entire kidney on rare occasions. Laparoscopic nephroureterectomy when the ureter is also involved by hydatid cyst. Open surgical drainage of the hydatid cyst and peri-cystectomy. Open drainage of the hydatid cyst and partial nephrectomy. Open drainage of the hydatid cyst and full nephrectomy. Open drainage of the hydatid cyst and nephroureterectomy if there is an associated hydatid cyst of the ureter. If there is an associated hydatid cyst elsewhere for example in the liver that cyst would also be carefully excised. Utilization of antiscolicidal medicaments alone without surgery had yielded poor results and recurrence of cysts with the exception of one reported case in which utilization of albendazole alone was associated with a good outcome. Aspiration alone of the hydatid cyst has not emanated in good results therefore it is not an option of treatment generally used. With regard to outcome a combination of treatment with albendazole and complete excision of the hydatid cyst of the kidney without spillage from the cyst does result in good outcome and no recurrence of the cyst. Occasional recurrence of the hydatid cyst of the kidney has been reported which could perhaps have been due to incomplete excision of the cyst or spillage of the cyst content plus or minus not having taken enough anti-scolicidal agents although some patients had been successfully treated with complete excision of the hydatid cyst alone without antiscolicidal medicament.

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Primary hydatid cyst looked like renal cell carcinoma: case report

Cited by 6 publications

References 6 publications

Bilateral renal hydatid disease associated with complex urolithiasis: A case report

Bilateral renal hydatid disease associated with complex urolithiasis: A case report

Renal hydatid cyst mimicked cystic renal cell carcinoma: A case report

Hydatid Cyst of the kidney and Ureter: A Review and Update of the Literature

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