孤立性肾包虫囊肿被误诊并作为囊性肾肿瘤进行手术。
Isolated Renal Hydatid Cyst Misdiagnosed and Operated as a Cystic Renal Tumor.
机构信息
Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of Anesthesia and Intensive Care, Assiut University Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt.
出版信息
Med Princ Pract. 2018;27(3):297-300. doi: 10.1159/000488878. Epub 2018 Mar 29.
OBJECTIVE
The aim of this work is the presentation of a case of isolated renal hydatid cyst with novel findings and an unusual surgical scenario.
CLINICAL PRESENTATION AND INTERVENTION
A 54-year-old female patient presented with left loin pain and a palpable left renal mass. Imaging described a well-demarcated left renal cystic lesion with a double-layer wall. Radical nephrectomy was performed due to the possibility of malignancy. On retrograde revision, the double-layer wall represented the detached germinative membrane of a hydatid cyst that was confirmed by histopathology.
CONCLUSION
Isolated renal hydatid cyst could be misinterpreted as a renal tumor. It should be considered in the differential diagnosis of renal cystic lesions.
目的
本研究旨在介绍一例具有新发现和不寻常手术情况的孤立性肾包虫囊肿病例。
临床表现与干预
一名 54 岁女性患者因左侧腰痛和可触及的左肾肿块就诊。影像学描述了一个边界清楚的左肾囊性病变，具有双层壁。由于存在恶性肿瘤的可能，因此进行了根治性肾切除术。在逆行检查中，双层壁代表了一个已分离的包虫囊肿生发膜，这一点通过组织病理学得到了证实。
结论
孤立性肾包虫囊肿可能被误诊为肾肿瘤。在肾囊性病变的鉴别诊断中应考虑到它。
Zotero 插件