Left renal hydatid cyst presenting as hematuria and macroscopic hydatiduria since last ten years

Gharde, Pankaj; Wagh, DD; Patil, Ajay B.

doi:10.4103/2229-5070.97242

Cited by 16 publications

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“…They contain the scolices and hooklets, along with sodium chloride, proteins, glucose, ions, lipids, and polysaccharides (Pedrosa et al 2000). On changing the patient's position under real time USG there is shifting of hydatid sand gives rise to the 'Falling snow flake' pattern (Gharde et al 2012). MRI offers no real advantage over CT scan (Volders et al 2001).…”

Section: Discussionmentioning

confidence: 99%

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A rare case of primary renal hydatid cyst presenting with hydatiduria

et al. 2013

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Hydatid disease caused by Echinococcus granulosus involves liver in 75 % of cases and lung in 15 % of cases. But primary renal involvement without liver and lung involvement is a very rare event. Among these patients of renal hydatidosis, hydatiduria is seen only in 10-20 % cases, which is considered to be pathognomonic. We report a case of echinococcosis, primarily involving the right kidney, presenting with clinical history of hydatiduria.

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Section: Discussionmentioning

confidence: 99%

“…Casoni test is unreliable and outdated now. But a combination of serological investigations yields a diagnosis in only 50 % cases (Gharde et al 2012).…”

Section: Discussionmentioning

confidence: 99%

A rare case of primary renal hydatid cyst presenting with hydatiduria

et al. 2013

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“…Kidney-conserving surgery like removal of hydatid cyst with pericystectomy is possible in most cases (75%). Partial nephrectomy, nephrectomy must be reserved for destroyed kidney [5]. Very few cases of laparoscopic removal of renal hydatid are reported [4].…”

Section: Discussionmentioning

confidence: 99%

“…Presenting complaints are usually dull flank pain, hematuria, or palpable mass in flank region. Serology and imaging modalities establish the diagnosis in most of the cases [3,5]. Serology consists of immuno-electrophoresis, immuno-hem agglutination test, and complement fixation test.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of Pain in Left Flank: Renal Hydatid Cyst

Yadav¹

2017

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Echinococcal infection of kidney is very rare [1][2][3], more over involvement of the kidney without the involvement of the liver and lungs is even more rare [2]. Liver is the most common site of echinococcal infestation (54% to 77%), because the liver acts as the initial filter for the organisms. Those larvae that escape the liver are next filtered by the lungs (9% to 30%). The spleen, (0.9% to 8%), kidney (2% to 3%), and brain (1%) are other organs involved.Keywords: Hydatid cyst kidney; Echinococcus granulosus; Scolicidal agent; Pericystectomy; Abdomen; Ultra sonography Case ReportA 15 year girl presented with complains of pain in left lumbar and left iliac fossa for 15 days. Pain was sudden in onset and progressive, colicky in nature no aggravating or relieving factor. Not associated with nausea, vomiting or fever. There were no urinary complains. Ultra sonography (USG) abdomen showed a 9.1 x 7.4 x 7.2 cm well defined cystic lesion is seen in left hypochondrium abutting left kidney, spleen, tail of pancreas and stomach. A tiny medullary projection is seen from kidney into cyst. ? Renal cortical cyst/ mesenteric cyst/ pseudo cyst. USG followed by Computed tomography (CT) of abdomen which revealed large thin walled cystic lesion on left side of midline most likely arising from antero-superior aspect of left kidney. With these findings we made a diagnosis of simple cyst arising from left kidney. So surgery was planned. Surgical ProcedureUreteric catheter was placed cystoscopically. Kidney was explored using left sub costal flank incision. A cyst was present on upper pole of kidney. The cyst content aspirated and was suggestive of hydatid cyst (CLEAR ASPIRATE). Whole cyst was irrigated with hypertonic saline de-roofing of cyst along with removal of endocyst and daughter cysts was done. After de-roofing of cyst betadine mixed saline was instilled through ureteric catheter and we recognized a rent in pelvicalyceal system which was repaired. Patient recovered completely and histopathology confirmed hydatid cyst. Patient was put on Albendazole 400mg twice daily for 3 cycles of 28days each cycle followed by a gap of 14days. Differential Diagnosis Left Flank PainRenal stones, parenchymal infection or inflammation, neuropathic pain, pleural pain, slipping rib syndrome, renal abscess, renal infarction. DiscussionA typical hydatid cyst is composed of 3 layers: a pericyst, an exocyst, and an endocyst (germinal layer) containing daughter cysts scolices and hooklets. Renal hydatid disease is an incidental finding, and patients often present with nonspecific clinical signs or symptoms. Presenting complaints are usually dull flank pain, hematuria, or palpable mass in flank region. Serology and imaging modalities establish the diagnosis in most of the cases [3,5]. Serology consists of immuno-electrophoresis, immuno-hem agglutination test, and complement fixation test. The Casoni test is unreliable and outdated. A combination of investigations yields a diagnosis in only 50% of cases. Hydatid cyst can be evaluated by USG...

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Hydatid Disease of the Kidney

Malik

Bari

2019

Human Abdominal Hydatidosis

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Left renal hydatid cyst presenting as hematuria and macroscopic hydatiduria since last ten years

Cited by 16 publications

References 3 publications

A rare case of primary renal hydatid cyst presenting with hydatiduria

A rare case of primary renal hydatid cyst presenting with hydatiduria

An Unusual Case of Pain in Left Flank: Renal Hydatid Cyst

Hydatid Disease of the Kidney

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