Limits...
A complex renal cyst: it is time to call the oncologist?

Granata A, Basile A, Bruno GA, Saita A, Falsaperla M, Figuera M, Gallieni M, Floccari F - Int J Nephrol (2011)

Bottom Line: A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed.Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Departments of Nephrology, Dialysis, Urology, and Radiology, AOU "Policlinico-Vittorio Emanuele", Catania, Italy.

ABSTRACT
Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. The cysts mainly arise in the liver (50 to 70%) or lung (20 to 30%), but any other organ can be involved, in abdominal and pelvic locations, as well as in other less common sites, which may make both diagnosis and treatment more complex. Isolated renal involvement is extremely rare. Case Presentation. We report a rare case of isolated renal hydatid disease in a 71-year-old man with a history of vague abdominal pain, anemia, fever, and microhematuria. Ultrasonographic examination revealed a complex cyst in the right kidney, including multiple smaller cysts with internal echoes. A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed. Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst. Albendazole, 10 mg/kg per day, was given for 4 weeks (2 weeks preoperatively and 2 weeks postoperatively). Conclusion. Isolated primary hydatidosis of the kidney should always be considered in the differential diagnosis of any cystic renal mass, even in the absence of accompanying involvement of liver or other visceral organs.

No MeSH data available.


Related in: MedlinePlus

The excised organ (a) and the isolated hydatid renal cyst (b).
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3108175&req=5

fig2: The excised organ (a) and the isolated hydatid renal cyst (b).

Mentions: Abdominal ultrasonography of the patient confirmed a large mass in the upper pole of right kidney (150 × 130 × 130 mm), with a wheels or honeycomb shape. A magnetic resonance revealed a heterogeneous, complex cystic mass on right native kidney (Figure 1). A right nephrectomy was indicated and performed. The surgical specimen weighted 415 g and measured 163 × 142 × 138 mm (Figure 2). The cut surface of the kidney revealed semisolid cystic lesions containing white-gray membranous structures. Histological examination revealed the lamellary membrane of the hydatid cyst. The serological tests for hydatid disease were negative.


A complex renal cyst: it is time to call the oncologist?

Granata A, Basile A, Bruno GA, Saita A, Falsaperla M, Figuera M, Gallieni M, Floccari F - Int J Nephrol (2011)

The excised organ (a) and the isolated hydatid renal cyst (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108175&req=5

fig2: The excised organ (a) and the isolated hydatid renal cyst (b).
Mentions: Abdominal ultrasonography of the patient confirmed a large mass in the upper pole of right kidney (150 × 130 × 130 mm), with a wheels or honeycomb shape. A magnetic resonance revealed a heterogeneous, complex cystic mass on right native kidney (Figure 1). A right nephrectomy was indicated and performed. The surgical specimen weighted 415 g and measured 163 × 142 × 138 mm (Figure 2). The cut surface of the kidney revealed semisolid cystic lesions containing white-gray membranous structures. Histological examination revealed the lamellary membrane of the hydatid cyst. The serological tests for hydatid disease were negative.

Bottom Line: A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed.Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Departments of Nephrology, Dialysis, Urology, and Radiology, AOU "Policlinico-Vittorio Emanuele", Catania, Italy.

ABSTRACT
Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. The cysts mainly arise in the liver (50 to 70%) or lung (20 to 30%), but any other organ can be involved, in abdominal and pelvic locations, as well as in other less common sites, which may make both diagnosis and treatment more complex. Isolated renal involvement is extremely rare. Case Presentation. We report a rare case of isolated renal hydatid disease in a 71-year-old man with a history of vague abdominal pain, anemia, fever, and microhematuria. Ultrasonographic examination revealed a complex cyst in the right kidney, including multiple smaller cysts with internal echoes. A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed. Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst. Albendazole, 10 mg/kg per day, was given for 4 weeks (2 weeks preoperatively and 2 weeks postoperatively). Conclusion. Isolated primary hydatidosis of the kidney should always be considered in the differential diagnosis of any cystic renal mass, even in the absence of accompanying involvement of liver or other visceral organs.

No MeSH data available.


Related in: MedlinePlus