Premium
Diagnosis and Treatment of Renal Hydatid Disease: Presentation of Four Cases
Author(s) -
Baykal Kadir,
Önol Yavuz,
Içeri Cüneyt,
Kalci Erdal,
Kizilkaya Eçref,
Inal Haluk,
Erden Dogan
Publication year - 1996
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1996.tb00584.x
Subject(s) - medicine , nephrectomy , cystectomy , differential diagnosis , urinary system , radiology , disease , surgery , kidney , pathology , bladder cancer , cancer
Hydatid disease of the urinary tract is uncommon, accounting for only 2% to 3% of all hydatid diseases. We report 4 patients with hydatid cystic disease of the kidney. Nephrectomy was performed on 1 patient because of the destruction of renal parenchyma by the hydatid cyst. The other 3 patients were treated by cystectomy to preserve the normal renal parenchyma. In these cases, Casoni's intradermal test and indirect hemagglutination (IHA) test were not found to be helpful in the diagnosis, and eosinophilia was not significant. Diagnostic features of hydatid cysts were mixed echogenicity on ultrasonography, and multivesicular cyst with mixed density on computerized tomography (CT). CT was the most useful and specific investigation. No complications were noted during the first 3 months of the follow‐up. Despite its rarity, hydatid disease should be considered in the differential diagnosis of space‐occupying lesions of the urinary tract. Parenchyma‐sparing surgery (cystectomy, partial nephrectomy) or nephrectomy are the main treatment modalities.