A Complex Renal Cyst: It Is Time to Call the OncologistReport as inadecuate




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International Journal of NephrologyVolume 2011 2011, Article ID 893985, 3 pages

Case Report

Departments of Nephrology, Dialysis, Urology, and Radiology, AOU “Policlinico-Vittorio Emanuele”, Catania, Italy

Department of Nephrology and Dialysis, San Paolo Hospital and DMCO, University of Milano, Italy

Department of Nephrology and Dialysis, San Paolo Hospital, Civitavecchia, Italy

Received 21 January 2011; Accepted 15 March 2011

Academic Editor: James E. Springate

Copyright © 2011 Antonio Granata et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. The cysts mainly arise in the liver 50 to 70% or lung 20 to 30%, but any other organ can be involved, in abdominal and pelvic locations, as well as in other less common sites, which may make both diagnosis and treatment more complex. Isolated renal involvement is extremely rare. Case Presentation. We report a rare case of isolated renal hydatid disease in a 71-year-old man with a history of vague abdominal pain, anemia, fever, and microhematuria. Ultrasonographic examination revealed a complex cyst in the right kidney, including multiple smaller cysts with internal echoes. A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed. Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst. Albendazole, 10 mg-kg per day, was given for 4 weeks 2 weeks preoperatively and 2 weeks postoperatively. Conclusion. Isolated primary hydatidosis of the kidney should always be considered in the differential diagnosis of any cystic renal mass, even in the absence of accompanying involvement of liver or other visceral organs.





Author: Antonio Granata, Antonio Basile, Giuseppe Alessandro Bruno, Alberto Saita, Mario Falsaperla, Michele Figuera, Maurizio Galli

Source: https://www.hindawi.com/



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