Renal Hydatid Disease

Abstract

Hydatid disease is caused by the larval form of Taenia echinococcus (Echinococcus granulosus) in humans, the most common sites being the liver and the lungs. Involvement of the kidneys is uncommon and can be asymptomatic for long periods. Renal hydatid disease has no pathognomonic signs except for hydatiduria. Because of the risk of fatal anaphylaxis, puncture of the cyst should be avoided, and partial or total nephrectomy is still the preferred treatment. We present 10 patients with renal hydatid disease treated in the Department of Urology, Ankara University.

Percutaneous renal hydatid cyst treatment: long-term results

“…Different surgical techniques have been used to treat renal hydatid cysts. Cystectomy, enucleation of the cyst, marsupialization, or nephrectomy (partial or total) may be performed according to the size and localization of the cyst [3,5,7,8]. Superficial renal hydatid cysts that do not affect the renal parenchyma can be excised.…”

“…reserved for cases where the entire kidney is occupied by the cyst [7]. Mansupialization is done in a patient with a solitary kidney [3]. Although different surgical techniques have been employed in the literature, total nephrectomy, which was done in 17 of 27 patients in four large series published in the literature, was the most common surgical method [3,5,7,8].…”

“…The traditional treatment of choice for all forms of renal hydatid cysts is surgery, such as those seen in the liver and lungs [3,6]. Different surgical techniques have been used to treat renal hydatid cysts.…”

“…However, surgical treatment of a renal hydatid cyst usually results in partial or total loss of the involved kidney, with considerable postsurgical complications [3,5,7,8].…”

“…Renal involvement is rare and constitutes approximately 2-3% of all cases [1,2]. Renal involvement is usually single and located in the cortex [3,4].…”