School of Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
Kathmandu Hospital, Tripureshwor, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Jul 30;59(239):716-718. doi: 10.31729/jnma.6994.
Cystic Echinococcosis or Hydatid disease is caused by the infection with the larval stage of long tapeworm, Echinococcus granulosus. This condition often remains asymptomatic for years before the cyst grows large enough to cause symptoms in affected organs. The most common organs involved are liver and lungs although the heart, brain, bone, central nervous system, and kidney may also be involved. This case is about a young woman who presented with left flank pain and urinary tract infection who was later diagnosed as having left renal hydatid cyst. The cyst was approximately 7.8×6.6×8cm with internal multiple septations at the lower pole cortex of the left kidney. Laparoscopic pericystectomy was performed and with no postoperative complications, she was discharged on albendazole and other supportive medication. With timely management using combination therapy, this condition is curable and the patient can live a healthy life with normal kidney function.
包虫病又称棘球蚴病,是由细粒棘球绦虫幼虫感染引起的。在包囊长到足以引起受影响器官出现症状之前,这种疾病通常多年无症状。最常受累的器官是肝脏和肺部,尽管心脏、大脑、骨骼、中枢神经系统和肾脏也可能受累。本病例是一名年轻女性,因左侧腰痛和尿路感染就诊,后来被诊断为左肾包虫囊肿。囊肿约 7.8×6.6×8cm,位于左肾下极皮质内有多个内部分隔。行腹腔镜包囊切除术,术后无并发症,出院时给予阿苯达唑及其他支持性药物治疗。通过及时采用联合治疗进行管理,这种疾病是可治愈的,患者可以在正常肾功能的情况下过上健康的生活。