Abstract
Hydatid cyst is a parasitic disease caused by the tapeworm Echinococcus granulosus. Hydatid cyst disease mostly involves the liver and the lung, while renal involvement is rare, comprising only 2% of all cases. An interesting case of a giant renal hydatid cyst is presented in our first case. The big cystic mass detected at ultrasonography (US) and computerized tomography (CT) in a 44-year-old female looked like a simple cyst. No germinative membrane or any other radiological sign of a hydatid cyst was present. An another interesting case of a giant renal hydatid cyst is presented in our second case. A 27-year-old female admitted to the hospital with the complaint of right flank pain for three years and for a pain in right gluteal region for a year. Abdominal computed tomography revealed two cysts in right kidney 12x12 cm and 5x5 cm in size. Also a cyst between internal and external oblique muscles 5x5 cm in size, and a cyst in the right gluteal region 12x12 cm in size. Despite modern imaging methods, isolated renal hydatid disease might still cause diagnostic dilemma and hydatid cysts can be found in unusual localization. Key words: Echinococcus, hydatid, kidney.
Keywords
References
- Bouree P. Hydatidosis: Dynamics of Transmission. World J Surg 2001; 25: 4-9.
- Yilmaz Y, Kösem M, Ceylan K et al. Our experience in eight cases with urinary hydatid disease: a series of 372 cases held in nine different clinics. Int J Urol 2006; 13: 1162-1165.
- Sountoulides P, Zachos I, Efremidis S, Pantazakos A, Podimatas T. Nephrectomy for benign disease? A case of isolated renal echinococcosis. Int J Urol 2006; 13:174-176.
- Yaycioglu O, Ulusan S, Gul U, Guvel S. Isolated renal hydatid disease causing ureteropelvic junction obstruction and massive destruction of kidney parenchyma. Urology 2006; 67: 15-17.
- Göğüs C, Safak M, Baltaci S, Türkölmez K. Isolated renal hydatidosis: experience with 20 cases. J Urol 2003; 169: 186- 189.
- Horchani A, Nouira Y, Kbaier I, Attyaoui F, Zribi AS. Hydatid cyst of the kidney. A report of 147 controlled cases. Eur Urol 2000; 38: 461-467.
- Babba H, Messedi A, Masmoudi S et al. Diagnosis of human hydatidosis: comparison between imagery and six serologic techniques. Am J Trop Med Hyg 1994; 50: 64-68.
- Gulek B, Oguzkurt P, Zorludemir U. Giant renal hydatid cyst resembling a simple cyst: an intraoperative diagnosis. Int Urol Nephrol 2005; 37: 457-459.
- Afsar H, Yagci F, Meto S, Aybasti N. Hydatid disease of the kidney: evaluation and features of diagnostic procedures. J Urol 1994; 151: 567-570.
- Angulo JC, Sanchez-Chapado M, Diego A, Escribano J, Tamayo JC, Martin L. Renal echinococcosis: clinical study of 34 cases. J Urol 1997; 157: 787-794.
- Gupta R, Kapoor R, Mandhani A, Dubey D. Renal hydatid cyst presenting as perinephric and iliopsoas abscess. Urol Int 2004; 73: 178-180.
- Biava MF, Dao A, Fortier B. Laboratory diagnosis of cystic hydatic disease. World J Surg 2001; 25: 10-14.
- Kabul Tarihi:09.07.2009
Abstract
Kist hidatik hastalığı parazitik bir hastalık olup Echinococcus granulosus'un larva formu tarafından oluşturulmaktadır. Kist hidatik hastalığı sıklıkla karaciğer ve akciğerleri etkilemektedir. Böbrek tutulumu nadir olarak görülmekte olup tüm vakaların 2% kadarını oluşturmaktadır. Birinci olgumuz 44 yaşındaki kadın hastada saptanan ve basit böbrek kisti ile uyumlu radyolojik bulgulara sahip bir kist hidatik olgusudur. İkinci olgumuz 27 yaşında 3 yıldır sağ yan ağrısı ve son bir yıldır gluteal bölgede ağrısı olan kadın hasta olup, bilgisayarlı tomografi ile yapılan inceleme sonucu sağ böbrekte 12x12 cm and 5x5 cm boyutlarında iki adet kist saptanmıştır. Aynı zamanda, internal ve eksternal oblik kaslar arasında 5x5 cm boyutlarında ve sağ gluteal bölgede 12x12 cm boyutlarında kist saptanmıştır. Görüntüleme yöntemlerindeki gelişmelere rağmen bazen basit böbrek kisti görünümünde böbrek kist hidatiği olabilir ve aynı zamanda sık görülen bölgeler dışında da kist hidatik saptanabilir.
Keywords
References
- Bouree P. Hydatidosis: Dynamics of Transmission. World J Surg 2001; 25: 4-9.
- Yilmaz Y, Kösem M, Ceylan K et al. Our experience in eight cases with urinary hydatid disease: a series of 372 cases held in nine different clinics. Int J Urol 2006; 13: 1162-1165.
- Sountoulides P, Zachos I, Efremidis S, Pantazakos A, Podimatas T. Nephrectomy for benign disease? A case of isolated renal echinococcosis. Int J Urol 2006; 13:174-176.
- Yaycioglu O, Ulusan S, Gul U, Guvel S. Isolated renal hydatid disease causing ureteropelvic junction obstruction and massive destruction of kidney parenchyma. Urology 2006; 67: 15-17.
- Göğüs C, Safak M, Baltaci S, Türkölmez K. Isolated renal hydatidosis: experience with 20 cases. J Urol 2003; 169: 186- 189.
- Horchani A, Nouira Y, Kbaier I, Attyaoui F, Zribi AS. Hydatid cyst of the kidney. A report of 147 controlled cases. Eur Urol 2000; 38: 461-467.
- Babba H, Messedi A, Masmoudi S et al. Diagnosis of human hydatidosis: comparison between imagery and six serologic techniques. Am J Trop Med Hyg 1994; 50: 64-68.
- Gulek B, Oguzkurt P, Zorludemir U. Giant renal hydatid cyst resembling a simple cyst: an intraoperative diagnosis. Int Urol Nephrol 2005; 37: 457-459.
- Afsar H, Yagci F, Meto S, Aybasti N. Hydatid disease of the kidney: evaluation and features of diagnostic procedures. J Urol 1994; 151: 567-570.
- Angulo JC, Sanchez-Chapado M, Diego A, Escribano J, Tamayo JC, Martin L. Renal echinococcosis: clinical study of 34 cases. J Urol 1997; 157: 787-794.
- Gupta R, Kapoor R, Mandhani A, Dubey D. Renal hydatid cyst presenting as perinephric and iliopsoas abscess. Urol Int 2004; 73: 178-180.
- Biava MF, Dao A, Fortier B. Laboratory diagnosis of cystic hydatic disease. World J Surg 2001; 25: 10-14.
- Kabul Tarihi:09.07.2009
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | August 1, 2009 |
| Published in Issue | Year 2009 Volume: 14 Issue: 4 |