scholarly journals Presence of an Isolated Hydatid Cyst in the Left Kidney: Report of a Case of This Rare Condition Managed Surgically

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Daniel Paramythiotis ◽  
Petros Bangeas ◽  
Konstantinia Kofina ◽  
Vassileios Papadopoulos ◽  
Antonios Michalopoulos
Keyword(s):  
Hydatid Cyst ◽  
Left Kidney ◽  
Rare Condition ◽  
Clinical History ◽  
Cystic Mass ◽  
Renal Masses ◽  
Case Presentation ◽  
Radiologic Imaging ◽  
Laboratory Examinations ◽  
Upper Abdominal

Introduction.Hydatid cyst disease caused byEchinococcus granulosusis rarely presented in the kidneys, whereas isolated renal occurrence is estimated to be about as low as 2–4% of all cases. We present a case of a female patient suffering from this condition that was treated successfully in our department.Case Presentation.A 44-year-old woman was incidentally diagnosed with a 14 cm left renal cystic mass through ultrasound imaging performed during upper abdominal pain investigation. Laboratory examinations were normal and CT imaging set the diagnosis of an isolated left renal hydatid cyst. The cyst was excised and the postoperative period was uneventful.Discussion.Isolated renal hydatid cyst is a very rare condition and could possibly be misdiagnosed with other renal masses. The clinical history, laboratory tests, and thorough radiologic imaging are crucial for the accurate preoperative diagnosis.

scholarly journals Spontaneous pneumoperitoneum with duodenal diverticulosis in an elderly patient: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Takeshi Ueda ◽  
Tetsuya Tanaka ◽  
Takashi Yokoyama ◽  
Tomomi Sadamitsu ◽  
Suzuka Harada ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Abdominal Cavity ◽  
Vital Signs ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Case Presentation ◽  
Free Air ◽  
Spontaneous Pneumoperitoneum ◽  
Upper Abdominal ◽  
Emergent Laparotomy

Abstract Background Pneumoperitoneum commonly occurs as a result of a viscus perforation and usually presents with peritoneal signs requiring emergent laparotomy. Spontaneous pneumoperitoneum is a rare condition characterized by intraperitoneal gas with no clear etiology. Case presentation We herein report a case in which conservative treatment was achieved for an 83-year-old male patient with spontaneous pneumoperitoneum that probably occurred due to duodenal diverticulosis. He had stable vital signs and slight epigastric discomfort without any other signs of peritonitis. A chest radiograph and computed tomography showed that a large amount of free gas extended into the upper abdominal cavity. Esophagogastroduodenoscopy showed duodenal diverticulosis but no perforation of the upper gastrointestinal tract. He was diagnosed with spontaneous pneumoperitoneum, and conservative treatment was selected. His medical course was uneventful, and pneumoperitoneum disappeared after 6 months. Conclusion In the management of spontaneous pneumoperitoneum, recognition of this rare condition and an accurate diagnosis based on symptoms and clinical imaging might contribute to reducing the performance of unnecessary laparotomy. However, in uncertain cases with peritoneal signs, spontaneous pneumoperitoneum is difficult to differentiate from free air resulting from gastrointestinal perforation and emergency exploratory laparotomy should be considered for these patients.

scholarly journals Hepatic hydatid cyst: a masquerader

2020 ◽  
Vol 7 (5) ◽  
pp. 1688
Author(s):  
Krishan Kumar Kanhaiya ◽  
Bhimsi Kandoriya ◽  
Vineet Pandey ◽  
Viresh Kumar ◽  
Sushanto Neogi
Keyword(s):  
Differential Diagnosis ◽  
Hydatid Cyst ◽  
Surgical Excision ◽  
Hepatic Cyst ◽  
Cystic Mass ◽  
Hepatic Hydatid Cyst ◽  
Adrenal Cyst ◽  
Upper Abdominal ◽  
Hepatic Hydatid

Liver is the most common organ involved in echinococcosis. Organs affected by E granulosus are the liver (63%), lungs (25%) and muscles (5%). Rest of the organs are rarely affected.  Adrenal cysts are uncommon. Their size may range widely and the origin of large adrenal cysts is often difficult to distinguish from other organs, including the kidney, pancreas, spleen, and liver. A large right-sided adrenal cystic mass can rarely be mistaken for a hepatic cyst by imaging. In this report, authors have described an adrenal cyst in a 28 year old lady, who was diagnosed preoperatively to have a hepatic hydatid cyst but intraoperatively it was found to be of adrenal origin. The size of the adrenal cyst can vary from a few millimetres up to 50 cm in diameter. Majority of the adrenal cysts are unilateral, while 8-10% of those cysts have been noted to be present bilaterally. The majority of cases are diagnosed between the 3rd and 6th decades. Although uncommon, Adrenal cyst should be considered as one of the differential diagnosis of upper abdominal cysts. Surgical excision is advisable when the cysts are symptomatic, greater than 5 cm in diameter and in the case of suspecting malignancy. 

scholarly journals Hydatid cyst of the lung in pregnancy: A rare case presentation

2020 ◽  
Vol 3 (1) ◽  
pp. 1-3
Author(s):  
Ahmad Shirinzadeh ◽  
◽  
Amene Hadadan ◽  
Sedighe Vaziribozorg ◽  
◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Left Lung ◽  
Cystic Mass ◽  
Suspected Pulmonary Embolism ◽  
Left Hemithorax ◽  
Case Presentation ◽  
X Ray ◽  
Appropriate Treatment ◽  
Chest X Ray ◽  
In Pregnancy

Hydatid cyst of the lung has been seen in 30% of the cases of hydatidosis in some series. In our case presentation, a 29-year old female, gravida 1, referred to the hospital with acute and severe pain in the lower left hemithorax, while she was in the 26th week of pregnancy. The pain was pleuritic and was accompanied with tachypnea. The patient was hospitalized with suspected pulmonary embolism. The chest X-ray and computed tomography showed a cystic mass in the lower left lung. After a diagnosis of hydatid cyst, the patient underwent surgery and all of her symptoms were resolved. As Albendazole is a medication from pregnancy category C, and since in our case, the patient underwent surgery and all of her symptoms were resolved, we can conclude that surgery is a safe and appropriate treatment for Hydatid cyst of the lung in pregnancy.

Congenital hepatic cyst: Prenatal and postnatal imaging findings

Ultrasound ◽  
2020 ◽  
pp. 1742271X2097060
Author(s):  
Waldo Sepulveda ◽  
Francisco Sepulveda ◽  
Gloria Gonzalez ◽  
Claudio Arce ◽  
Elisa Alcalde
Keyword(s):  
Late Pregnancy ◽  
Abdominal Ultrasound ◽  
Hepatic Cyst ◽  
Cystic Mass ◽  
Pathological Examination ◽  
Simple Cyst ◽  
Radiologic Imaging ◽  
Laparoscopic Excision ◽  
Upper Abdominal ◽  
Selection Of

Introduction Congenital hepatic cyst is a rare hepatobiliary malformation that can present as an asymptomatic, unilocular, upper abdominal cystic mass in the fetus. Cases We report two cases of congenital hepatic cyst in which the diagnosis was made by prenatal ultrasound at 25 and 33 weeks’ gestation. The diagnosis was confirmed postnatally by abdominal ultrasound and radiologic imaging studies. Although the infants remained asymptomatic, laparoscopic excision was performed due to the increasing size of the cyst in both cases. Pathological examination of the resected specimens confirmed a simple cyst in one case and an epidermoid cyst in the other. Conclusions Our cases and those described in the literature demonstrate the usefulness of incidental prenatal detection of congenital hepatic cyst, especially during late pregnancy. Such a diagnosis can allow for proper perinatal surveillance, selection of the route of delivery, and timely postnatal surgical intervention if required.

scholarly journals Contrast-enhanced Ultrasound Findings of Hemolymphangioma of the Kidney: The First Report in the Literature

2020 ◽  
Author(s):  
Hong Wang ◽  
Dan Yang ◽  
Yan Luo ◽  
Yulan Peng ◽  
Wenwu Ling
Keyword(s):  
Left Kidney ◽  
Laboratory Data ◽  
Good Prognosis ◽  
Cystic Mass ◽  
Contrast Enhanced Ultrasound ◽  
Case Presentation ◽  
Contrast Enhanced ◽  
Complete Surgical Resection ◽  
Ultrasound Findings ◽  
Delayed Phase

Abstract Background: Hemolymphangioma is a rare vascular and lymphatic malformation. To the author’s knowledge, no cases of hemolymphangioma in the kidney have been reported in the literature. Case presentation: We herein report a case of a 68-year-old man with low back pain. NO abnormalities were revealed in laboratory data including liver, renal function and blood and urine sediments. Ultrasonography showed a huge separated cystic mass in the upper part of left kidney. In contrast-enhanced ultrasound(CEUS) , the lesion of the kidney was hyper-enhanced in the hyper-enhanced in the cortical phase, and hypo-enhancement in medulla and delayed phase. Nephrectomy was performed. The pathologicaI diagnosis was a hemolymphangioma of thekidney. His postoperative course was uneventful and he was discharged on the 12th d after surgery. Conclusions: Although rare, hemolymphangioma should be considered a differential diagnosis for masses occurring in the kidney. Complete surgical resection is the treatment of choice and affords a good prognosis.

scholarly journals Pathophysiological clinical features of an infant with hypertension secondary to multicystic dysplastic kidney: a case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Keisuke Sugimoto ◽  
Takuji Enya ◽  
Kensuke Joh ◽  
Kohei Miyazaki ◽  
Tomoki Miyazawa ◽  
...  
Keyword(s):  
Left Kidney ◽  
Multicystic Dysplastic Kidney ◽  
Wall Thickening ◽  
Tubular Atrophy ◽  
Renal Masses ◽  
Renal Hypoplasia ◽  
Case Presentation ◽  
Post Surgery ◽  
Dysplastic Kidney

Abstract Background The association of hypertension with congenital renal hypoplasia has been established. We report a case of an infant who underwent nephrectomy for hypertension. Case presentation Magnetic resonance imaging for the mother revealed fetal renal masses, and fetal multicystic dysplastic kidney was suspected. Following birth, the baby developed hypertension. Numerous investigations revealed that the left kidney was non-functional, and she was initiated on benazepril hydrochloride. However, because the drug response was poor, the left kidney was removed at the age of 7 months. Examination of the renal specimen revealed abrupt transition from normal to atrophic cortex with lobar atrophy and cysts. Tubular atrophy, marked abnormal blood vessels with wall thickening, gathered immature glomeruli, and parenchymal destruction were observed. Renin was partially localized in the proximal tubules and the parietal epithelium of the Bowman’s capsule in the immature glomeruli. We speculated that an abnormal vascular structure and irregular renin localizations may be the cause of hypertension. Serum renin and aldosterone levels gradually reduced post-surgery, reaching normal levels on the 90th postoperative day. A long follow-up is needed due to the possibility of the child developing hypertension in the future. Conclusion This is a case of an infant with MCDK, which discusses the clinicopathological features based on the pathophysiological analysis, including renin evaluation.

scholarly journals Portal Cavernoma Complicating a Persistent Postoperative Bile Leak after Liver Hydatid Cyst Surgery: -a Report Case-

2019 ◽  
pp. 642-644
Author(s):  
Mohamed Bouzroud ◽  
Badr Ait Idir ◽  
Felicitas Strehlow ◽  
Amine Benkabbou
Keyword(s):  
Portal Hypertension ◽  
Hydatid Cyst ◽  
Late Onset ◽  
Parasitic Infection ◽  
Bile Leak ◽  
Rare Condition ◽  
Liver Cyst ◽  
Splenorenal Shunt ◽  
Case Presentation ◽  
Liver Hydatid Cyst

INTRODUCTION: Hydatid cyst is a parasitic infection caused by the larval form of Echinococcus granulosis. Portal hypertension is an unusual postoperative complication after a liver hydatid cyst surgery. CASE PRESENTATION: To illustrate this rare condition, we present the case of a 32-year-old patient operated for a liver hydatid cyst with late-onset postoperative complications. The patient suffered from secondary digestive bleeding because of portal hypertension and was therefore treated with a distal splenorenal shunt (Warren). CONCLUSION: Surgery of hydatid cyst may cause severe complications like portal hypertension and in certain cases, distal splenorenal anastomosis might represent an important treatment option that needs to be performed in specialised centres. Keywords: Liver cyst, Portal hypertension, Splenorenal shunt.

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

Multiple Tumor-Associated Intracranial Aneurysms Adjacent to a Suprasellar Germ Cell Tumor: Case Report and Review of Literature

2021 ◽  
pp. 1-10
Author(s):  
John K. Yue ◽  
Diana Chang ◽  
Taemin Oh ◽  
Ethan A. Winkler ◽  
Alex Y. Lu ◽  
...  
Keyword(s):  
Germ Cell ◽  
Germ Cell Tumor ◽  
Intracranial Aneurysms ◽  
Multidisciplinary Treatment ◽  
Clinical History ◽  
Cell Tumor ◽  
Paracrine Signaling ◽  
Current Case ◽  
Case Presentation ◽  
Multiple Tumor

<b><i>Introduction:</i></b> Tumor-associated intracranial aneurysms are rare and not well understood. <b><i>Case Presentation:</i></b> We describe a 4-year-old female with multiple intracranial aneurysms intimately associated with a suprasellar germ cell tumor (GCT). We provide the clinical history, medical, and surgical treatment course, as well as a comprehensive and concise synthesis of the literature on tumor-associated aneurysms. <b><i>Discussion:</i></b> We discuss mechanisms for aneurysm formation with relevance to the current case, including cellular and paracrine signaling pertinent to suprasellar GCTs and possible molecular pathways involved. We review the complex multidisciplinary treatment required for complex tumor and cerebrovascular interactions.

scholarly journals A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Hirao ◽  
HiroHisa Okabe ◽  
Daisuke Ogawa ◽  
Daisuke Kuroda ◽  
Katsunobu Taki ◽  
...  
Keyword(s):  
Cystic Duct ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Endoscopic Retrograde ◽  
Case Presentation ◽  
Endoscopic Nasobiliary Drainage ◽  
Subtotal Cholecystectomy ◽  
Upper Abdominal ◽  
The Right ◽  
Nasobiliary Drainage

Abstract Background Laparoscopic cholecystectomy is a well-established surgical procedure and is one of the most commonly performed gastroenterological surgeries. Therefore, strategy for the management of rare anomalous cystic ducts should be determined. Case presentation A 56-year-old woman was admitted to our hospital owing to upper abdominal pain and diagnosed with acute cholecystitis. Magnetic resonance cholangiopancreatography suspected that several small stones in gallbladder and the right hepatic duct drained into the cystic duct. Endoscopic retrograde cholangiopancreatography confirmed the cystic duct anomaly, and an endoscopic nasobiliary drainage catheter (ENBD) was placed at the right hepatic duct preoperatively. Intraoperative cholangiography with ENBD confirmed the place of division in the gallbladder, and laparoscopic subtotal cholecystectomy was safely performed. Conclusions The present case exhibited rare right hepatic duct anomaly draining into the cystic duct, which might have caused biliary tract disorientation and bile duct injury (BDI) intraoperatively. Any surgical technique without awareness of this anomaly preoperatively might insufficiently prevent BDI, and preoperative ENBD would facilitate safe and successful surgery.

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