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Hydatid Disease: A Critical Approach to the Diagnostic Measures

Year 1996, Volume: 1 Issue: 2, 13 - 16, 30.12.1996

Abstract

 

In this retrospective study, we evaluated the clinical manifestations
and the diagnostic findings of renal and adrenal hydatid disease, and to
propose guidelines for correct diagnosis and treatment. A positive diagnosis of
hydatid disease was made in 7 patients. 6 were renal hydatid cysts and the
other was located in the left adrenal gland. Radiological investigation and
laboratory tests were performed for correct pretreatment diagnosis of the
masses.

As the symptoms and physical findings are nonspecific for hydatid
disease, the radiological investigations are the dominant diagnostic features.
Computed tomography seems more accurate in the diagnosis of the hydatidosis
than ultrasonography and intravenous pyelography and especially if it is
combined with immunologic testing.










Despite its rarity, hydatid disease should be considered in the
differential diagnosis of space-occupying lesions of the urinary tract. Every
effort should be done for correct pretreatment diagnosis.

References

  • Rausch RL. On the occurrence and distribution of Echinococcus sp. (Cestoda, Taeniidae) and characteristics of their development in the intermediate host. Am J Parasitol. 1967;42:19-23.
  • Cahill KM, Cox KB. Enteric-associated helminthic infections. In Hoeprich PD, ed.: Infectious Diseases. Maryland: Harper and Row; 1973:856-898. 
  • Hartman DS. Radiologic pathologic correlation of the infectious granulomatous diseases of the kidney. Monogr Urol. 1985;6:3-8.
  • Dale G. Echinococcus disease of the kidney. In: Kaufman JJ, ed. Current Urologic Therapy. Philadelphia: WB Saunders Comp; 1980:48-49.
  • Milanese A, Camana GP, Carbone P. Echinococcusis cyst in the pelvic cavity. Presentation of a case. Minerva Urol Nefrol. 1991;43(4):301-303.
  • Martinez Marsal E, Mora Nadal J, Closas Capdevila M, Busquets Dalmau N, Sarquella Mateu P. Solitary adrenal gland hydatid cyst. Adas Urol Esp. 1992;16(4):333-336.
  • Di Palma A, Ettorre GC, Scapati C. The role of computerized tomography in the diagnosis of hydatid disease. Radiol Med (Torino). 1991;82(4):430-436.
  • Hindricks G, Bocker D, Konertz W, Bongartz G, Borggrefe M. Polycystic disease of the kidneys complicating the diagnosis of myocardial echinococcosis. Eur Heart J. 1993; 14(1):141-142. doi: 10.1093/eurheartj/14.1.141
  • von Sinner WN. Case report 616: Hydatid disease (HD) involving multiple bones and soft tissue. Skeletal Radiol. 1990;19(4):312-316. doi: 10.1007/bf00191682
  • Lunardi P, Missuri P, Ercoli L. Multiple cerebral hydatid disease: case report with magnetic resonance imaging study. Neurosurgery. 1993;32(1):152.
  • von Sinner WN, Hellstrom M, Kagevi I, Norlen BJ. Hydatid disease of the urinary tract. J Urol. 1993;149:577-580.
  • Blandy J. Urinary tract infection. In: Blandy J, ed. Lecture Notes on Urology. Oxford: Blackwell Scientific Publications; 1982:76-94.
  • Smith JH, von Lichtenberg F, Lehman JS. Parasitic diseases of the genitourinary system. In: Walsh PC, Retik AB, Stamey TA, Vaughan ED, ed. Campbell's Urology. Philadelphia: WB Saunders Comp; 1992:883-927.
  • Göğüş O, Bedük Y, Topukçu Z. Renal hydatid disease. Br J Urol. 1991:68:466-469.
  • Cohen MS. Granulomatous nephritis. Urol Clin North Am. 1986; 13:647-659.
  • Gottesman JE, Kelly MR: Idiopathic renal hematuria: Differential diagnosis and management of causes. In: Kaufman JJ, ed. Current Urologic Therapy. Philadelphia: WB Saunders Comp; 1980: 92-93.
  • Shetty SD, al-Saigh AA, Ibrahim Al, Malatani T, Patil KP. Hydatid disease of the urinary tract: Evaluation of diagnostic methods. Br J Urol. 1992;69(5):476-480. doi: 10.1111/j.1464-410x.1992.tb15591.x
  • Zambelli S, Carnevale G, Prata M, Barbero E, Mastinu A, Vergara E. Hydatidosis of the psoas muscle. Description of a case and review of the literature. Arch Esp Urol. 1991; 44(7):864-866.

Hidatik Kist: Tanısal Yöntemlerin İrdelenmesi

Year 1996, Volume: 1 Issue: 2, 13 - 16, 30.12.1996

Abstract

Bu retrospektif çalışmada, renal ve adrenal hidatik kist olgularının
klinik ve tanı yöntemleriyle elde edilen bulguları gözden geçirdik ve bu
bulguların ışığında doğru tanı ve tedavi için yöntem belirlemeye çalıştık. 7
olgumuzda tanımız tedavi sonrası ile uyumluydu. Olguların 6'sında böbrekte,
1'inde ise sol adrenal yerleşimli hidatik kist mevcuttu. Kitlelerin tedavi öncesi
orijinini tanımlayabilmek için radyolojik ve laboratuvar testler yapıldı.

Hidatik kist olgularının semptomları ve muayene bulguları nonspesifik
olduğu için, tedavi öncesi en yararlı tanı yöntemi radyolojik çalışmalardır.
Bilgisayarlı tomografi; özellikle serolojik testler ile kombine edildiğinde;
ultrasonografi ve intravenöz piyelografiden daha üstündür.










Hastalık nadir olmasına karşın, üriner sistemde yer işgal eden kitle
varlığında ayırıcı tanıda kist hidatik olasılığı da akla gelmeli ve tedavi öncesi
doğru tanı elde edebilmek için gayret sarf edilmelidir.

References

  • Rausch RL. On the occurrence and distribution of Echinococcus sp. (Cestoda, Taeniidae) and characteristics of their development in the intermediate host. Am J Parasitol. 1967;42:19-23.
  • Cahill KM, Cox KB. Enteric-associated helminthic infections. In Hoeprich PD, ed.: Infectious Diseases. Maryland: Harper and Row; 1973:856-898. 
  • Hartman DS. Radiologic pathologic correlation of the infectious granulomatous diseases of the kidney. Monogr Urol. 1985;6:3-8.
  • Dale G. Echinococcus disease of the kidney. In: Kaufman JJ, ed. Current Urologic Therapy. Philadelphia: WB Saunders Comp; 1980:48-49.
  • Milanese A, Camana GP, Carbone P. Echinococcusis cyst in the pelvic cavity. Presentation of a case. Minerva Urol Nefrol. 1991;43(4):301-303.
  • Martinez Marsal E, Mora Nadal J, Closas Capdevila M, Busquets Dalmau N, Sarquella Mateu P. Solitary adrenal gland hydatid cyst. Adas Urol Esp. 1992;16(4):333-336.
  • Di Palma A, Ettorre GC, Scapati C. The role of computerized tomography in the diagnosis of hydatid disease. Radiol Med (Torino). 1991;82(4):430-436.
  • Hindricks G, Bocker D, Konertz W, Bongartz G, Borggrefe M. Polycystic disease of the kidneys complicating the diagnosis of myocardial echinococcosis. Eur Heart J. 1993; 14(1):141-142. doi: 10.1093/eurheartj/14.1.141
  • von Sinner WN. Case report 616: Hydatid disease (HD) involving multiple bones and soft tissue. Skeletal Radiol. 1990;19(4):312-316. doi: 10.1007/bf00191682
  • Lunardi P, Missuri P, Ercoli L. Multiple cerebral hydatid disease: case report with magnetic resonance imaging study. Neurosurgery. 1993;32(1):152.
  • von Sinner WN, Hellstrom M, Kagevi I, Norlen BJ. Hydatid disease of the urinary tract. J Urol. 1993;149:577-580.
  • Blandy J. Urinary tract infection. In: Blandy J, ed. Lecture Notes on Urology. Oxford: Blackwell Scientific Publications; 1982:76-94.
  • Smith JH, von Lichtenberg F, Lehman JS. Parasitic diseases of the genitourinary system. In: Walsh PC, Retik AB, Stamey TA, Vaughan ED, ed. Campbell's Urology. Philadelphia: WB Saunders Comp; 1992:883-927.
  • Göğüş O, Bedük Y, Topukçu Z. Renal hydatid disease. Br J Urol. 1991:68:466-469.
  • Cohen MS. Granulomatous nephritis. Urol Clin North Am. 1986; 13:647-659.
  • Gottesman JE, Kelly MR: Idiopathic renal hematuria: Differential diagnosis and management of causes. In: Kaufman JJ, ed. Current Urologic Therapy. Philadelphia: WB Saunders Comp; 1980: 92-93.
  • Shetty SD, al-Saigh AA, Ibrahim Al, Malatani T, Patil KP. Hydatid disease of the urinary tract: Evaluation of diagnostic methods. Br J Urol. 1992;69(5):476-480. doi: 10.1111/j.1464-410x.1992.tb15591.x
  • Zambelli S, Carnevale G, Prata M, Barbero E, Mastinu A, Vergara E. Hydatidosis of the psoas muscle. Description of a case and review of the literature. Arch Esp Urol. 1991; 44(7):864-866.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Urology
Journal Section Research Articles
Authors

Sıtkı Özdamar This is me

Emin Yener Gültekin This is me

Cüneyt Özkürkçügil This is me

Kazım Çimen This is me

Ali Gökalp This is me

Publication Date December 30, 1996
Submission Date July 1, 1996
Published in Issue Year 1996 Volume: 1 Issue: 2

Cite

AMA Özdamar S, Gültekin EY, Özkürkçügil C, Çimen K, Gökalp A. Hidatik Kist: Tanısal Yöntemlerin İrdelenmesi. Acta Med Nicomedia. December 1996;1(2):13-16.

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