Hydatid Disease: A Critical Approach to the Diagnostic Measures

Yıl 1996, Cilt: 1 Sayı: 2, 13 - 16, 30.12.1996

Sıtkı Özdamar Emin Yener Gültekin Cüneyt Özkürkçügil Kazım Çimen Ali Gökalp

Öz

 

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.

Anahtar Kelimeler

Hydatid disease, kidney, adrenal

Hidatik Kist: Tanısal Yöntemlerin İrdelenmesi

Öz

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.

Anahtar Kelimeler

Kist hidatik, böbrek, adrenal

Kaynakça

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