Primary Hydatid Cyst of the Kidney and Ureter with Hydatiduria in a Laboratory Worker: A Case Report

Seetharam, Venkatesh; Khanna, Vinay K.; Jaiprakash, Padmapriya; Kosaraju, Kranthi; Thomas, Joseph; Mukhopadhayay, Chiranjay

doi:10.1155/2012/596923

Cited by 12 publications

(14 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However the final diagnosis is always histopathological. The treatment in most of the cases is surgical excision with perioperative coverage of Albendazole 400 mg twice a day for two to four weeks [5,6].…”

Section: Resultsmentioning

confidence: 99%

Isolated Renal Hydatid Cyst Masquerading as Cystic Renal Cell Carcinoma: A Case Report

Bhat

Burude

Hegde

et al. 2015

JCDR

View full text Add to dashboard Cite

A 48-year-old lady presented to our outpatient department with a vague pain in the abdomen weight loss since last six months. The lady appeared moderately built but poorly nourished without any other positive findings on clinical examination. Her blood and biochemical examination gave no clue to the diagnosis as there was only raised Erythrocyte Sedimentation Rate (ESR). Abdominal ultrasound detected a left upper pole mixed density lesion in the kidney [ With this investigation background, we suspected a cystic RCC and planned a trans abdominal approach. On entering the retroperitoneum we found a cystic mass in upper pole of the left kidney with no lymph nodes. The boundaries were defined, vessels were isolated and then renal capsule was opened at the point where the mass abutted with normal lower pole. Rest of the abdomen was isolated by sterile mops so that any inadvertent leakage doesn't lead to abdominal seedling. Upper pole nephrectomy was planned and dissection was carried out. The cyst opened at the lateral most part while taking the specimen out of the abdomen, when we found daughter cysts coming out to our surprise [Table /Fig-4 Incidentally detected renal cysts are always a diagnostic challenge especially when they present with equivocal features on imaging. Proper diagnosis is of paramount importance as it affects the treatment decisions. Septal and nodular enhancement on computed tomography (CT) is the strongest predictor of malignant process. A multilocular cystic lesion with heterogeneity on CT goes in favour of hydatid disease. Though the treatment in both these cases is surgical excision, a more careful study of image may ease the treatment planning process much more. We report a case in middle aged lady who presented with vague abdominal pain with loss of weight, who was found to have a cystic mass in the upper pole of the left kidney on imaging turned out to be hydatid cyst though the radiological features were in favour of cystic renal cell carcinonoma.

show abstract

Section: Resultsmentioning

confidence: 99%

Isolated Renal Hydatid Cyst Masquerading as Cystic Renal Cell Carcinoma: A Case Report

Bhat

Burude

Hegde

et al. 2015

JCDR

View full text Add to dashboard Cite

show abstract

“…It is most common in the liver and lungs 3. Kidney involvement is extremely rare comprising only 2%–3% cases of all hydatid disease cases 1…”

Section: Discussionmentioning

confidence: 99%

Primary renal echinococcosis with gross hydatiduria

Gupta

Devkaran

2017

BMJ Case Reports

View full text Add to dashboard Cite

Renal echinococcosis is a rare disease. It is usually asymptomatic but may present with pain, lump or in rare cases hydatiduria. Diagnosis is mainly by imaging but serology is usually false negative. We present a patient of renal echinococcosis who presented with passing of grape skin like structures in urine and was diagnosed to be a case of renal echinococcosis on the basis of positive serology, ultrasonographic and CT findings. The patient underwent a nephroureterectomy and was given albendazole preoperatively and postoperatively.

show abstract

“…Renal hydatid cysts usually remain asymptomatic for many years. [3] There are no pathognomonic clinical signs except cystic rupture into the collecting system, which leads to acute renal colic and hydatiduria. It is not clear how the hydatid embryo reaches the kidney in cases of primary hydatid disease but it is postulated that it must pass through the portal system into the liver and retroperitoneal lymphatics.…”

Section: Discussionmentioning

confidence: 99%

“…The MRI shows the cysts adequately, but MRI offers no real advantage over CT scan .In general, Surgery is the treatment of choice in renal hydatid cyst. Kidneysparing surgery (Removal of hydatid cyst with pericystectomy) is possible in most cases (75%) [3,4]. Nephrectomy (25% of cases) must be reserved for destroyed kidney.…”

Section: Discussionmentioning

confidence: 99%