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2019, Number 1

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RCU 2019; 8 (1)

Hydatidid renal cyst

Bustamante SN, Bustamante SN, Odaz FY, Lebohang LR

Language: Spanish
References: 31
Page: 66-74
PDF size: 818.12 Kb.


ABSTRACT

Clinical Case: Introduction: The hydatid cyst is an infestation by the granular Echinococcus granulosus, whose larvae can be located in various organs or tissues. Renal localization is very infrequent. Clinical Case: Performed an observational, longitudinal and retrospective investigation from 2008 to 2014, the sample is of five patients operated. The inclusion criteria were to have the data of the clinical records and the histological confirmation. The variables studied were: age, sex, clinical presentation, studies performed, operative procedures done and postoperative complications.The ages fluctuated between 7- 60 years. Lumbo-abdominal pain and abdominal mass were the most frequent symptom and sign. The male sex predominated. In three cases, the hydatid cyst was isolated in the right kidney. Hydaturia was observed in one patient. The indirect hemagglutination test, echographic and tomographic studies contributed to the diagnosis. In three patients a total nephrectomy was performed and the rest of the cyst resection and marsupialization, administering albendazol. In the follow-up of four cases there was no recurrence of hydatidosis. Our objective is to present the operated cases and make a literature review. Conclusions: Renal hydatidosis is infrequent and its diagnosis is a challenge. The surgery associated with the antiparasitic is fundamental in the treatment. Renal hydatid cyst should be considered in the differential diagnosis between lesions occupying kidney space in patients from endemic áreas. Conclusions: The debut of prostatic cancer as a giant left supraclavicular adenopathy is very rare. Total androgenic ablation favors the initial evolution of these cases.


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