Treatment of renal hydatid disease by pedicled omentoplasty.

Renal hydatid disease is uncommon and accounts for only 2 to 3% of all hydatid diseases. The treatment of choice is surgical. Medical therapy is not always satisfactory and radical cure depends mostly on removal of all affected tissue. There is controversy concerning the treatment of residual cavity after evacuation of the cyst. For this problem we performed the pedicled omentoplasty in 4 patients with renal hydatid disease. To our knowledge, this method has not been described previously for renal hydatid disease. Cystectomy with pedicled omentoplasty appears to be safe and effective in the management of renal hydatid disease.