Renal hydatidosis. Discussion of a clinical case complicated by post acute pancreatitic cyst.

In this paper the authors describes a rare case of renal hydatidosis complicated by post acute pancreatitic cyst. There have been no reports up till now either of any physiopathological between the development of hydatid cysts in the vicinity of the pancreas and subsequent pancreatitis, or of any correlation between long-term albendazole therapy and acute pancreatitis. In our particular case, however, the volumetric increase of the renal cyst caused external compression of the pancreas and the consequent slowing-down of bilio-pancreatic flow, which probably led to the development of acute pancreatitis. Since, in our opinion, the pancreatic pseudocyst required surgical removal, we decided to perform the operation there and then; intraoperative examination of the cystic fluid and the presence of daughter cysts confirmed the suspected diagnosis of hydatidosis, of clear renal origin since it was closely attached to the upper pole and continued along the upper calyces renales; the cyst was easily detached from the lower and posterior edge of the liver, and was completely removed, together with its pericystium, which was detached from the lower surface of the liver and from the inferior subhepatic vein; only a tiny disk of pericystium was left in communication with a calyx, sutured to the rest of the kidney. The pancreatic cyst was drained by means of a mesocolic Roux-loop cysto-jejunostomy.