Renal hydatid cysts: communicating with collecting system

Gilsanz, Vicente; Lozano, Gabriela Carvajales; Jiménez, Juan José Almazán

doi:10.2214/ajr.135.2.357

Cited by 52 publications

(45 citation statements)

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“…Although there are no specific clinical symptoms or signs that will reliably confirm the diagnosis of renal echinococcosis, hydaturia, which is characterized by the presence in urine of gelatinous material and membranes reminding grape skins in texture, is pathognomonic of a hydatid cyst ruptured in the renal collecting system [8]. The passage of daughter cysts in the urinary tract may cause acute episodes of pain and fever and show filling defects in pyelography [4, 6].…”

Section: Discussionmentioning

confidence: 99%

Hydatid Cyst of the Kidney

Horchani¹,

Nouira²,

Kbaier³

et al. 2000

European Urology

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Section: Discussionmentioning

confidence: 99%

Hydatid Cyst of the Kidney

Horchani¹,

Nouira²,

Kbaier³

et al. 2000

European Urology

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“…Клиническая картина эхинококкоза почки характеризуется болями в животе, а также гидатидурией, проявляющейся наличи-ем в моче желатинообразных включений и мембраноподобных пленок, напоминающих по плотности кожицу винограда [8]. От-хождение с мочой дочерних кист может обусловить клиническую картину почечной колики -выраженный болевой синдром и ги-пертермию.…”

Section: Discussionunclassified

Disseminated peritoneal lesion after laparoscopic removal of renal hydatid cyst

Krieger¹,

Vishnevskiy²,

Son³

et al. 2015

Khir. Z. im. N.I. Pirogova

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“…Excretory urography may demonstrate caliceal distortion, caliectasis and a non-functioning kidney, possibly caused by the mass effect of cystic lesions. 17 Although abdominal sonography is helpful in the diagnosis, a CT is more accurate and sensitive. 6 The sonographic findings may show anechoic lesions with well-defined margins, while a CT may demonstrate a cyst with a thick or calcified wall, a unilocular cyst with a detached membrane, a multiloculated cyst with mixed internal density, and daughter cysts with lower density than the maternal matrix.…”

Section: Discussionmentioning

confidence: 99%

Isolated renal hydatid disease in a non-endemic country: a single centre experience

Mokhtar

Sayyah

Al‐Hindi

et al. 2012

CUAJ

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Objective: Isolated renal hydatid disease (HD) is rare in nonendemic countries. Clinical and radiological suspicion warrants appropriate serological tests, preoperative treatment and intra-operative precautions. We present a tertiary care centre experience of isolated renal HD in a non-endemic country. Methods: We reviewed the medical records of patients with HD treated in the past 20 years. We identified patients with the definitive diagnosis of isolated renal HD and described their management. Results: Of the 119 cases with HD, 6 were found to have isolated renal involvement (5%). Their median age was 46.5 (28-70) years. Five patients presented with flank pain and 1 had an incidentally discovered renal mass. Radiologic investigations raised the suspicion of possible HD in 4 cases, while 2 cases were diagnosed as renal tumours. Computerized tomography showed complex renal cyst in 4, solid renal mass with heterogonous enhancement in 2 and calcification in 5. Eosinophilia and indirect hemagglutination test (IHA) were positive in 3 of the 4 suspected cases. Three cases were treated as renal tumours, while 3 were managed as HD. Four cases had total nephrectomy and 2 had partial nephrectomy. Histopathology revealed that all cases had renal HD. Patients were followed for a median of 7.3 (0.4-11.3) years with no evidence of recurrence. Conclusions: Isolated renal HD is a challenging preoperative diagnosis in non-endemic countries. The definitive diagnosis is only possible by histopathology. Retrospectively, HD mimicked renal tumours in half the cases and should be considered in the differential diagnosis of renal space occupying lesions. RésuméObjectif : L'hydatidose rénale isolée est une maladie rare dans les pays où elle n'est pas endémique. Des éléments cliniques et radiologiques suspects justifient des tests sérologiques appropriés, un traitement préopératoire et des précautions peropératoires. Nous présentons l'expérience d'un centre de soins tertiaires avec l'hydatidose rénale isolée dans un pays où cette maladie n'est pas endémique.Méthodologie : Nous avons passé en revue les dossiers médi-caux de patients atteints d'hydatidose au cours des 20 dernières années. Nous avons cerné des patients ayant reçu un diagnostic final d'hydatidose rénale isolée et nous décrivons leur traitement. Résultats : Sur les 119 cas d'hydatidose, 6 avaient une atteinte rénale isolée (5 %). L'âge médian de ces patients était de 46,5 ans (28 à 70). Cinq patients présentaient des douleurs au flanc, et un patient présentait une masse rénale découverte fortuitement. Des examens radiologiques ont fait hausser les soupçons quant à une hydatidose dans quatre cas, alors que dans les deux autres cas, on a diagnostiqué une tumeur rénale. La TDM a montré un kyste rénal complexe chez quatre patients, une masse rénale solide avec densification hétérogène dans deux cas et des calcifications dans cinq cas. L'éosinophilie et le test d'hémagglutination passive étaient positifs dans trois des quatre cas soupçonnés. Trois cas ont été traités comm...

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Renal hydatid cysts: communicating with collecting system

Cited by 52 publications

References 0 publications

Hydatid Cyst of the Kidney

Hydatid Cyst of the Kidney

Disseminated peritoneal lesion after laparoscopic removal of renal hydatid cyst

Isolated renal hydatid disease in a non-endemic country: a single centre experience

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