10 yaşında kız hasta idrarda yanma ve sol yan ağrısı nedeniyle aile sağlığı merkezine başvurdu. Özgeçmişinde tekrarlayan idrar yolu enfeksiyonu tanısıyla çeşitli tedaviler aldığı öğrenildi. Fizik muayenesinde; hepatomegali ve sol kostovertebral açı hassasiyeti saptandı. Abdominal ultrasonografi (USG) ve bilgisayarlı tomografide (BT) karaciğer sol lobda sol böbreğe de bası yapan yaklaşık 8,5x8x8 cm boyutlarında 3 mm kalınlığında kapsüllü kistik lezyon saptandı. Cerrahi tedavi yapılan ve histopatolojik olarak kist hidatik tanısı konulan hastanın takibinde tekrarlayan idrar yolu enfeksiyonu ile ilgili şikayetlerinin düzeldiği görüldü.
1. Becknell B, Schober M, Korbel L, Spencer JD. The Diagnosis, Evaluation and Treatment of Acute and Recurrent Pediatric Urinary Tract Infections. Expert Rev Anti Infect Ther. 2015 January; 13(1): 81–90. doi:10.1586/14787210.2015.986097.
2. Larcombe J. Urinary tract infection in children: recurrent infections. BMJ Clin Evid. 2015 Jun 12;2015. pii: 0306.
3. Mishra OP, Abhinay A, Prasad R. Urinary infections in children. Indian J Pediatr. 2013 Oct;80(10):838-43. doi: 10.1007/s12098-013-1118-4. Epub 2013 Jul 24.
4. Bhutani M, Kajalb P. Hepatic echinococcosis: A review. Annals of Medicine and Surgery 36 (2018) 99–105.
5. Pakala T, Molina M, Wu GY. Hepatic Echinococcal Cysts: A Review. Journal of Clinical and Translational Hepatology 2016; vol. 4 :39–46.
6. Berberoğlu B, Çapan N, Pelit A, Atikcan Ş, Canbakan S.Ö, Başer Y. A hydatid cyst case with muliple organ involvement. Turkiye Klinikleri J Med Sci 1996;16:226-229.
7. Bayraktar M. Parasitic Diseases of the Lung: Life Cycle of Hydatid Cyst. Turkiye Klinikleri J Thor Surg-Special Topics 2012;5:153-6.
8. Kuru C, Baysal B. Unilokuler kistik ekinokokkozis‘in tanısında indirekt hemaglutinasyon yonteminin değeri. T Parazitol Derg. 1999; 23: 251-4.
9. Heidegger H, Jeschke U. Human Chorionic Gonadotropin (hCG)-An Endocrine, Regulator of Gestation and Cancer. Int J Mol Sci. 2018 May 17;19(5). pii: E1502. doi: 10.3390/ijms19051502.
10. Hahn F, Müller L, Jungmann F, Mähringer-Kunz A, Tanyildizi Y, Düber C, Galle PR, Weinmann A , Kloeckner R. Survival prediction for patients with non-resectable intrahepatic cholangiocarcinoma undergoing chemotherapy: a retrospective analysis comparing the tumor marker CA 19-9 with cross-sectional imaging. J Cancer Res Clin Oncol. 2020 Mar 30. doi: 10.1007/s00432-020-03200-2.
A Hydatid Cyst Case Diagnosed in Recurrent Urinary Tract Infection Examination of a Pediatric Patient
A 10-year-old girl applied to the family health center with complaints of urinary burning and left-side pain. It was found that she received various treatments for the diagnosis of recurrent urinary tract infection based on medical history. Hepatomegaly and left costovertebral angle tenderness were detected in physical examination,. Abdominal ultrasonography (USG) and computed tomography (CT) revealed a 3 mm thick encapsulated cystic lesion measuring approximately 8.5 x 8 x 8 x 8 cm in the left lobe of the liver that also presses on the left kidney. In the follow-up of the patient, who was surgically treated and histopathologically diagnosed as a hydatid cyst, her complaints about recurrent urinary tract infection were observed to be resolved.
1. Becknell B, Schober M, Korbel L, Spencer JD. The Diagnosis, Evaluation and Treatment of Acute and Recurrent Pediatric Urinary Tract Infections. Expert Rev Anti Infect Ther. 2015 January; 13(1): 81–90. doi:10.1586/14787210.2015.986097.
2. Larcombe J. Urinary tract infection in children: recurrent infections. BMJ Clin Evid. 2015 Jun 12;2015. pii: 0306.
3. Mishra OP, Abhinay A, Prasad R. Urinary infections in children. Indian J Pediatr. 2013 Oct;80(10):838-43. doi: 10.1007/s12098-013-1118-4. Epub 2013 Jul 24.
4. Bhutani M, Kajalb P. Hepatic echinococcosis: A review. Annals of Medicine and Surgery 36 (2018) 99–105.
5. Pakala T, Molina M, Wu GY. Hepatic Echinococcal Cysts: A Review. Journal of Clinical and Translational Hepatology 2016; vol. 4 :39–46.
6. Berberoğlu B, Çapan N, Pelit A, Atikcan Ş, Canbakan S.Ö, Başer Y. A hydatid cyst case with muliple organ involvement. Turkiye Klinikleri J Med Sci 1996;16:226-229.
7. Bayraktar M. Parasitic Diseases of the Lung: Life Cycle of Hydatid Cyst. Turkiye Klinikleri J Thor Surg-Special Topics 2012;5:153-6.
8. Kuru C, Baysal B. Unilokuler kistik ekinokokkozis‘in tanısında indirekt hemaglutinasyon yonteminin değeri. T Parazitol Derg. 1999; 23: 251-4.
9. Heidegger H, Jeschke U. Human Chorionic Gonadotropin (hCG)-An Endocrine, Regulator of Gestation and Cancer. Int J Mol Sci. 2018 May 17;19(5). pii: E1502. doi: 10.3390/ijms19051502.
10. Hahn F, Müller L, Jungmann F, Mähringer-Kunz A, Tanyildizi Y, Düber C, Galle PR, Weinmann A , Kloeckner R. Survival prediction for patients with non-resectable intrahepatic cholangiocarcinoma undergoing chemotherapy: a retrospective analysis comparing the tumor marker CA 19-9 with cross-sectional imaging. J Cancer Res Clin Oncol. 2020 Mar 30. doi: 10.1007/s00432-020-03200-2.
Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.