Faculty of Medicine, Damascus University, Damascus, Syria.
Al-Assad University Hospital, Damascus University, Damascus, Syria.
J Med Case Rep. 2022 Oct 24;16(1):386. doi: 10.1186/s13256-022-03630-1.
Isolated renal hydatid cysts of the kidney are a rare occurrence that account for about 2-3% of all hydatidoses. They can stay asymptomatic for years and could have a variable presentation on imaging techniques, which results in a challenging diagnostic process.
We report a 22-year-old Caucasian male with a large cyst on the upper pole of the left kidney that had no septations nor membrane calcifications on computed tomography, which led to mistakenly considering it a simple renal cyst. The true diagnosis was identified intraoperatively and proven postoperatively by pathology.
This case highlights the importance of keeping echinococcosis in mind when treating suspected renal cysts and tumors to avoid incorrect treatment and possible content spillage, anaphylaxis, and peritoneal dissemination.
孤立性肾包虫囊肿较为罕见，约占所有包虫病的 2-3%。它们可以多年无症状，在影像学技术上表现多样，导致诊断过程具有挑战性。
我们报告了一例 22 岁白人男性，左肾上极有一个大囊肿，在 CT 上没有分隔或膜钙化，这导致误诊为单纯性肾囊肿。术中明确了真正的诊断，术后病理证实了这一诊断。
本病例强调了在治疗疑似肾囊肿和肿瘤时应考虑包虫病的重要性，以避免错误的治疗和可能的内容溢出、过敏反应和腹膜播散。
