Primary Renal Hydatid in Children
Isolated renal hydatid disease, caused by the larvae of the parasitic tapeworm Echinococcus granulosus is a rare phenomenon and accounts for only 2% of all reported cases. The authors report a case of a 12-year-old female who presented with right flank pain. Initial abdominal ultrasound revealed a...
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European Medical Journal
2022-07-01
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| Series: | European Medical Journal Urology |
| Online Access: | https://www.emjreviews.com/urology/article/primary-renal-hydatid-in-children/ |
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| author | Jeff John Bernard Marais |
| author_facet | Jeff John Bernard Marais |
| author_sort | Jeff John |
| collection | DOAJ |
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Isolated renal hydatid disease, caused by the larvae of the parasitic tapeworm Echinococcus granulosus is a rare phenomenon and accounts for only 2% of all reported cases. The authors report a case of a 12-year-old female who presented with right flank pain. Initial abdominal ultrasound revealed a complex cystic mass in the upper pole of the right kidney. A contrasted CT scan better defined it as a well-circumscribed cyst with multiple thin septations. Laboratory investigations showed eosinophilia and a positive IgG Echinococcus serology. Considering these radiological and laboratory findings, a tentative diagnosis of primary renal hydatid was made. With perioperative antihelmintic therapy, the authors used a combination of an open puncture-aspiration-injection-reaspiration technique pericystectomy to manage the isolated renal hydatid. Renal hydatid can easily be misinterpreted pre-operatively for more sinister renal cystic pathology, including cystic renal cell carcinoma. An accurate pre-operative diagnosis requires a high index of suspicion, especially in endemic regions. Surgical therapy, with perioperative antihelmintic therapy, offers the best chance of cure. |
| format | Article |
| id | doaj-art-fbd665825a734dbb8277b3d0296cbb6f |
| institution | Kabale University |
| issn | 2053-4213 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal Urology |
| spelling | doaj-art-fbd665825a734dbb8277b3d0296cbb6f2025-01-20T16:17:41ZengEuropean Medical JournalEuropean Medical Journal Urology2053-42132022-07-0110.33590/emjurol/22-00032Primary Renal Hydatid in ChildrenJeff John0Bernard Marais1Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa; Division of Urology, Department of Surgery, Groote Schuur Hospital and University of Cape Town, South AfricaDivision of Urology, Department of Surgery, Groote Schuur Hospital and University of Cape Town, South Africa Isolated renal hydatid disease, caused by the larvae of the parasitic tapeworm Echinococcus granulosus is a rare phenomenon and accounts for only 2% of all reported cases. The authors report a case of a 12-year-old female who presented with right flank pain. Initial abdominal ultrasound revealed a complex cystic mass in the upper pole of the right kidney. A contrasted CT scan better defined it as a well-circumscribed cyst with multiple thin septations. Laboratory investigations showed eosinophilia and a positive IgG Echinococcus serology. Considering these radiological and laboratory findings, a tentative diagnosis of primary renal hydatid was made. With perioperative antihelmintic therapy, the authors used a combination of an open puncture-aspiration-injection-reaspiration technique pericystectomy to manage the isolated renal hydatid. Renal hydatid can easily be misinterpreted pre-operatively for more sinister renal cystic pathology, including cystic renal cell carcinoma. An accurate pre-operative diagnosis requires a high index of suspicion, especially in endemic regions. Surgical therapy, with perioperative antihelmintic therapy, offers the best chance of cure.https://www.emjreviews.com/urology/article/primary-renal-hydatid-in-children/ |
| spellingShingle | Jeff John Bernard Marais Primary Renal Hydatid in Children European Medical Journal Urology |
| title | Primary Renal Hydatid in Children |
| title_full | Primary Renal Hydatid in Children |
| title_fullStr | Primary Renal Hydatid in Children |
| title_full_unstemmed | Primary Renal Hydatid in Children |
| title_short | Primary Renal Hydatid in Children |
| title_sort | primary renal hydatid in children |
| url | https://www.emjreviews.com/urology/article/primary-renal-hydatid-in-children/ |
| work_keys_str_mv | AT jeffjohn primaryrenalhydatidinchildren AT bernardmarais primaryrenalhydatidinchildren |