Ahmed Nurhussen Mossa, Dibaba Adame Tesema, Jemal Mohammed, Ahmed Sitotaw Mossa
Yekatit 12 Hospital Medical College, Department of Surgery, Addis Ababa, Ethiopia.
Terunesh Beijing Hospital, Department of Surgery, Addis Ababa, Ethiopia.
Int J Surg Case Rep. 2025 Jan;126:110687. doi: 10.1016/j.ijscr.2024.110687. Epub 2024 Nov 28.
Hydatid disease is caused by larval stages of the cestodes Echinococcus granulosus. The definitive host is dog, sheep is intermediate host and humans are accidental hosts. While liver and lung are commonly affected organs, isolated renal Hydatidosis is very rare. Renal Hydatidosis mostly remain asymptomatic for years or may have nonspecific symptoms like abdominal pain, swelling, malaise or hematuria. Ultrasound or computed tomography are helpful for diagnosis. Surgery is treatment of choice.
32 years old female presented with left flank pain and swelling. There was 8cmx9cm non tender, smooth surfaced palpable left flank mass extending to the umbilicus. Abdominal CECT showed left upper pole multiloculated renal cyst. Open cystectomy with partial pericystectomy done. Postoperatively patient had smooth recovery course. Discharged with albendazole at three month ultrasound showed no recurrence.
Hydatid cyst is found in most pastoral and rangeland areas of the world where animal husbandry is common. It is rare accounting for 2-3 % of hydatid disease. Often asymptomatic and may be found incidentally. Treatment can be medical, cystectomy, pericystectomy, partial or total nephrectomy.
Surgical approach is the most effective treatment of choice for cyst removal and cure. A rare disease where high index of suspicion and imaging modalities like ultrasound CECT can help for early diagnosis and do less damaging surgeries like cystectomy and pericystectomy instead of aggressive interventions like partial or total nephrectomy.
包虫病由细粒棘球绦虫的幼虫阶段引起。终宿主是犬，中间宿主是绵羊，人类是偶然宿主。肝脏和肺是常见的受累器官，孤立性肾包虫病非常罕见。肾包虫病大多多年无症状，或可能有腹痛、肿胀、不适或血尿等非特异性症状。超声或计算机断层扫描有助于诊断。手术是首选治疗方法。
一名32岁女性因左侧胁腹疼痛和肿胀就诊。可触及左侧胁腹有一个8cm×9cm大小、无压痛、表面光滑的肿块，延伸至脐部。腹部CT血管造影显示左肾上极多房性肾囊肿。行开放性囊肿切除术并部分切除包囊周围组织。术后患者恢复顺利。出院时给予阿苯达唑，术后3个月超声检查显示无复发。
包虫囊肿在世界上大多数畜牧业常见的牧区和草原地区都有发现。它很罕见，占包虫病的2% - 3%。通常无症状，可能偶然发现。治疗方法包括药物治疗、囊肿切除术、包囊周围组织切除术、部分或全肾切除术。
手术方法是切除囊肿并治愈的最有效选择。这是一种罕见疾病，高度怀疑指数以及超声、CT血管造影等成像方式有助于早期诊断，并进行如囊肿切除术和包囊周围组织切除术等损伤较小的手术，而非像部分或全肾切除术等激进干预措施。
