Mohammed Hammade1, Sami Alhoulaiby2, Adnan Ahmed3. 1. Faculty of Medicine, Damascus University, Damascus, Syria. dr.mohammedhammade@gmail.com. 2. Faculty of Medicine, Damascus University, Damascus, Syria. 3. Al-Assad University Hospital, Damascus University, Damascus, Syria.
Abstract
BACKGROUND: Isolated renal hydatid cysts of the kidney are a rare occurrence that account for about 2-3% of all hydatidoses. They can stay asymptomatic for years and could have a variable presentation on imaging techniques, which results in a challenging diagnostic process. CASE PRESENTATION: We report a 22-year-old Caucasian male with a large cyst on the upper pole of the left kidney that had no septations nor membrane calcifications on computed tomography, which led to mistakenly considering it a simple renal cyst. The true diagnosis was identified intraoperatively and proven postoperatively by pathology. CONCLUSIONS: This case highlights the importance of keeping echinococcosis in mind when treating suspected renal cysts and tumors to avoid incorrect treatment and possible content spillage, anaphylaxis, and peritoneal dissemination.
BACKGROUND: Isolated renal hydatid cysts of the kidney are a rare occurrence that account for about 2-3% of all hydatidoses. They can stay asymptomatic for years and could have a variable presentation on imaging techniques, which results in a challenging diagnostic process. CASE PRESENTATION: We report a 22-year-old Caucasian male with a large cyst on the upper pole of the left kidney that had no septations nor membrane calcifications on computed tomography, which led to mistakenly considering it a simple renal cyst. The true diagnosis was identified intraoperatively and proven postoperatively by pathology. CONCLUSIONS: This case highlights the importance of keeping echinococcosis in mind when treating suspected renal cysts and tumors to avoid incorrect treatment and possible content spillage, anaphylaxis, and peritoneal dissemination.
Authors: Christine M Budke; Hélène Carabin; Patrick C Ndimubanzi; Hai Nguyen; Elizabeth Rainwater; Mary Dickey; Rachana Bhattarai; Oleksandr Zeziulin; Men-Bao Qian Journal: Am J Trop Med Hyg Date: 2013-04-01 Impact factor: 2.345