Shah Kartik J, Ganpule Arvind P, Desai Mahesh R
Department of Urology, Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. Virendra Desai Road, Nadiad, Gujarat - 387 001, India.
Indian J Urol. 2009 Oct-Dec;25(4):531-3. doi: 10.4103/0970-1591.57925.
Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. Isolated renal involvement is extremely rare. A 45-year-old female, working as a farmer, presented with vague abdominal pain and hydatiduria. Ultrasonography of the abdomen revealed hydatid cyst arising from the right kidney. Computerized tomography scan of the abdomen confirmed the findings. Laparoscopic transperitoneal nephrectomy was performed. Isolated right renal hydatid cyst was removed in toto. Microscopic examination confirmed the diagnosis of hydatid cyst. Transperitoneal laparoscopic approach gives a better working space which helped us to remain outside Gerota's fascia and prevent subsequent cyst rupture.
包虫病是由细粒棘球绦虫引起的一种人兽共患寄生虫感染。孤立性肾脏受累极为罕见。一名45岁的女性农民，出现腹部隐痛和包虫尿。腹部超声检查发现右肾有包虫囊肿。腹部计算机断层扫描证实了这些发现。实施了腹腔镜经腹肾切除术。完整切除了孤立的右肾包虫囊肿。显微镜检查确诊为包虫囊肿。经腹腹腔镜入路提供了更好的操作空间，有助于我们保持在肾周筋膜外并防止随后的囊肿破裂。
