Renal allograft transplant recipient with ruptured hydatid native kidney

Abstract

Echinococcosis of the kidneys in a renal transplant recipient is extremely rare and its occurrence being related to immunosuppression is a possibility which needs further characterisation. Ruptured renal hydatid in a renal transplant recipient is not reported so far to our best knowledge. We present a 42-year-old renal allograft receipient who presented one year after transplant with left flank pain, palpable left lumbar mass and gross hydatiduria. Investigations revealed a ruptured native hydatid kidney. Patient was managed with a combination of chemotherapy and left native nephrectomy and discharged in a satisfactory condition.

Isolated native renal hydatidosis in a renal transplant patient: The case for an aggressive approach

“…In both cases, there was no evidence of the parasitic infection at the time of transplantation. [ 9 10 ] The present case, however, presented one year earlier (one year after transplantation) than the case reported by Cavdar et al ., and the size of the lesion was also larger. As a result, the lesion was symptomatic and palpable in the present case as opposed to the previously reported case.…”

“…[ 9 ] Pre-operative diagnosis is possible, as in this case, with a combination of serology, ultrasound, CT scanning and clinical data and a high index of suspicion. [ 10 ] Medical treatment alone in transplant setting appears to be ineffective, as in the present case, and aggressive approach needs to be taken. The case is also unique in that it presented with spontaneous rupture with gross hydatiduria and a rapid increase in size.…”

“…[ 9 ] The current case report by Bhat et al . [ 10 ] represents, to the best of our knowledge, the second case in the world literature. There are some interesting similarities and other contrasts between the two cases.…”

“…There is no follow-up data in both the reported cases in the literature. [ 9 10 ] There is also scanty evidence for the optimal management of the disease in this setting. The patient in the case report of Cavdar et al .…”