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成功切除与慢性肾盂肾炎相关的孤立性肾包虫囊肿:来自叙利亚的一例病例报告。

Successful nephrectomy of isolated renal hydatid cyst associated with chronic pyelonephritis: A case report from Syria.

作者信息

Fathallah Ibrahim, Qatza Ayham, Al-Talep Ahmed, Alajrd Abd Alrhman, Alsaede Ahmad, Alhussien Mohammad Oudeh

机构信息

Faculty of Medicine, Homs University, Homs, Syria.

Faculty of Medicine, Hama University, Hama, Syria.

出版信息

Urol Case Rep. 2025 Feb 19;59:102990. doi: 10.1016/j.eucr.2025.102990. eCollection 2025 Mar.

Abstract

Hydatid disease, primarily affecting liver and lungs, poses challenges with isolated renal cysts. A 29-year-old female with intermittent right flank pain and urinary burning was diagnosed with a Bosniak category 4 hydatid cyst (HC) after positive echinococcus antibodies. Imaging confirmed the diagnosis, leading to a three-month albendazole treatment followed by right nephrectomy and partial liver resection. Histopathological analysis confirmed HC and chronic pyelonephritis. The patient had an uneventful recovery and returned to normal activities. Hydatid cysts in the kidney are rare, often requiring surgical intervention for symptomatic cases. Accurate diagnosis and timely surgical intervention are crucial for effective management.

摘要

包虫病主要影响肝脏和肺部,孤立性肾囊肿则带来了挑战。一名29岁女性,有间歇性右胁腹疼痛和尿痛症状,在棘球绦虫抗体检测呈阳性后,被诊断为博斯尼亚克4类包虫囊肿(HC)。影像学检查确诊后,患者接受了为期三个月的阿苯达唑治疗,随后进行了右肾切除术和部分肝切除术。组织病理学分析证实为HC和慢性肾盂肾炎。患者恢复顺利,已恢复正常活动。肾包虫囊肿罕见,有症状的病例通常需要手术干预。准确诊断和及时手术干预对有效治疗至关重要。

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