Sehgal Nidhi, Priyadarshi Vinod
Department of Radiology, The Mission Hospital, Durgapur, West Bengal, India.
Department of Urology, The Mission Hospital, Durgapur, West Bengal, India.
Urol Ann. 2017 Jul-Sep;9(3):281-284. doi: 10.4103/0974-7796.210028.
Kidney is one of the most common sites for the cyst formation in the body, and the management of simple cysts is required entirely for its symptoms and complications. Surgical decortication is an established treatment for a large and symptomatic simple renal cyst. On the other hand, hydatid cysts of the kidney are usually multiloculated complex or calcified cysts and are quite rare. Their surgical treatment also differs and requires complete excision with pericystectomy or partial/complete nephrectomy depending upon residual functional parenchyma, using extreme caution to avoid spillage, recurrence or development of severe anaphylactic shock. A simple cyst harboring a hydatid cyst is highly uncommon and quite dangerous; as if not diagnosed preoperatively, it can create huge trouble for both the patient and the operating surgeon which happened in the present case.
肾脏是人体中囊肿形成最常见的部位之一，单纯性囊肿的处理完全取决于其症状和并发症。外科去皮质术是治疗大型有症状单纯性肾囊肿的既定方法。另一方面，肾包虫囊肿通常是多房性复杂囊肿或钙化囊肿，相当罕见。其手术治疗也有所不同，需要根据残余功能性实质进行完整切除并施行囊肿切除术或部分/全肾切除术，要格外小心以避免囊液外溢、复发或发生严重过敏性休克。含有包虫囊肿的单纯性囊肿非常罕见且相当危险；如果术前未被诊断出来，会给患者和手术医生都带来极大麻烦，本病例即如此。
