Wubie Abel G, Mengistie Chernet T, Mengistie Biruk T, Andargie Dereje G, Teka Daniel C, Gebremeskel Temesgen H
Assistant Professor of General Surgery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Urol Case Rep. 2025 Jul 16;62:103125. doi: 10.1016/j.eucr.2025.103125. eCollection 2025 Sep.
Isolated renal hydatid cysts are rare manifestations of cystic echinococcosis and often pose diagnostic and therapeutic challenges. We present a 40-year-old male with a large multivesicular cyst in the left kidney managed successfully with preoperative albendazole followed by nephron-sparing open cystectomy. Imaging revealed typical features, and histopathology confirmed Echinococcus granulosus. Surgical precautions minimized intraoperative spillage. This case highlights the importance of imaging in diagnosis and planning, and supports open nephron-sparing surgery with medical therapy as an effective approach for managing large renal hydatid cysts while preserving renal function.
孤立性肾包虫囊肿是囊性棘球蚴病的罕见表现，常带来诊断和治疗挑战。我们报告一例40岁男性，其左肾有一个巨大的多囊性囊肿，术前使用阿苯达唑治疗，随后成功进行了保留肾单位的开放性囊肿切除术。影像学检查显示出典型特征，组织病理学确诊为细粒棘球绦虫。手术中的预防措施使术中溢出物减到最少。该病例突出了影像学在诊断和治疗规划中的重要性，并支持将开放性保留肾单位手术联合药物治疗作为在保留肾功能的同时处理巨大肾包虫囊肿的有效方法。
