scholarly journals Primary renal echinococcosis – a rare location of hydatid disease

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 591-594
Author(s):  
Boris Mladenov ◽  
Emil Dorosiev
Keyword(s):  
Hydatid Disease ◽  
Renal Cyst ◽  
Left Kidney ◽  
Flank Pain ◽  
Tumour Mass ◽  
Large Tumour ◽  
Serological Tests ◽  
Palpable Mass ◽  
Rare Location ◽  
Uncommon Case

Hydatid disease is a condition affecting mainly the liver or, to a lesser extent, the lungs. We present an uncommon case of a primary renal echinococcosis in a young man complaining of intermittent hematuria, dull flank pain, and palpable mass in the left lumbar and lateral abdominal area which increases its size over time. After initial self-treatment with painkillers and antibiotics, the patient was referred to a urological clinic, where the physical examination revealed a large tumour mass in the left kidney. Ultrasound showed a large multilocular renal cyst, with a CT highly suspicious for renal echinococcosis (15×12.8×24.2 cm). Serological tests confirmed presence of IgG against Echinococcus. The patient was operated using the lumbar approach and nephrectomy was performed. The man recovered completely after surgery without the need for further treatment.

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.

scholarly journals Thoracoabdominal teratoma: Rare location

2011 ◽  
Vol 64 (1-2) ◽  
pp. 89-92 ◽  
Author(s):  
Radovan Cvijanovic ◽  
Dejan Ivanov ◽  
Mirjana Zivojinov
Keyword(s):  
Mature Teratoma ◽  
Left Kidney ◽  
Tumour Mass ◽  
Low Back ◽  
Definite Diagnosis ◽  
Computed Tomography Scan ◽  
Clear Fluid ◽  
Cystic Formation ◽  
Rare Location ◽  
Tomography Scan

Introduction. Teratomas are tumours derived from pluripotent germ cells. They appear most frequently on ovaries. However, other locations are also possible: testicles, retroperitoneum, stomach, neck, and bottom of the mouth cavity. It is not very common to find teratomas in two different body cavities. Case report. A 51-year-old patient visited her doctor complaining of an intensive pain which suddenly appeared in her low back. The computed tomography scan of the abdomen was performed, which revealed cystic formation, 12.5 x 18 cm in size, with remarkable capsule visualization. It had paraaortic, subdiaphragmatic, retropancreatic and suprarenal left localisation with signs of compression and pancreatic dislocation. The cystic formation had a septated appearance filled with clear fluid in all its parts except at the bottom, where it was dense. The intra-operative finding was left retroperitoneal mass placed above the left kidney, dislocating surrounding structures and their infiltration could not be excluded for sure. A tumour mass passed through the diaphragmatic hiatus and continued in the left thoracic space. The cyst was only drained and the fenestration was performed. Three months later, the second operation was performed-splenectomy, left suprarenaladenectomy, left nephrectomy, aortic deliberalisation, the left diaphragmatic crus was opened and tumour mass was completely removed from the thoracic space. The histological examination showed mature teratoma with morphological characterisations of the skin, so the definite diagnosis was dermoid cyst. Conclusion. The patient presented with thoracoabdominal teratoma. Although without malignant transformation, the teratoma required splenectomy, supraadrenalectomy and nefrectomy due to its position and size.

EVALUATION OF THREE SEROLOGICAL TESTS FOR THE DIAGNOSIS OF HYDATID DISEASE

1979 ◽  
Vol 2 (13) ◽  
pp. 678-680
Author(s):  
Vera Kertesz ◽  
P. W. Roberts ◽  
P. Sharp
Keyword(s):  
Hydatid Disease ◽  
Serological Tests

Hypertension and pulmonary oedema due to hyperreninemia - an uncommon presentation of blunt abdominal trauma

1993 ◽  
Vol 60 (3) ◽  
pp. 288-291
Author(s):  
P. Szmuk ◽  
M. Guy ◽  
T. Ezri ◽  
D. Soroker ◽  
S. Eisenkraft
Keyword(s):  
Pulmonary Oedema ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Clinical Picture ◽  
Renal Cyst ◽  
Renin Secretion ◽  
Uncommon Presentation ◽  
Uncommon Case ◽  
Hydronephrotic Kidney

We present an uncommon case of a child with acute abdominal signs, hypertension and pulmonary oedema, following blunt abdominal trauma. The clinical picture was due to rupture of a renal cyst and excess renin secretion from a unilateral, obstructed hydronephrotic kidney. Three months after nephrectomy the patient was normotensive.

scholarly journals A Complex Renal Cyst: It Is Time to Call the Oncologist?

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Antonio Granata ◽  
Antonio Basile ◽  
Giuseppe Alessandro Bruno ◽  
Alberto Saita ◽  
Mario Falsaperla ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rare Case ◽  
Renal Cyst ◽  
Renal Involvement ◽  
Case Presentation ◽  
Magnetic Resonance Scan ◽  
History Of ◽  
The Right ◽  
Vague Abdominal Pain

Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestodeEchinococcus 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.

Abnormal left kidney in a patient with acute flank pain

JAMA ◽  
1979 ◽  
Vol 242 (1) ◽  
pp. 75-76
Author(s):  
R. L. Dubuisson
Keyword(s):  
Left Kidney ◽  
Flank Pain ◽  
Acute Flank Pain

scholarly journals Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Benjamin M. Snyder ◽  
Joseph W. Beets ◽  
Bruce A. Lessey ◽  
Samuel R. W. Horton ◽  
Gary A. Abrams
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Hepatic Flexure ◽  
Endometrial Tissue ◽  
Deficiency Anemia ◽  
Deep Infiltrating Endometriosis ◽  
Rare Location ◽  
Uncommon Case ◽  
Conjugated Estrogen ◽  
Infiltrating Endometriosis

We report an uncommon case of deep infiltrating endometriosis of the colon presenting as iron deficiency anemia nine years after hysterectomy with bilateral salpingo-oophorectomy. The endometrial implant was found at the hepatic flexure, an exceedingly rare location for endometriosis invasion with no cases distinctly reported in the literature. Additionally, the presentation of gastrointestinal endometriosis as iron deficiency anemia is not well documented in the literature. Instead of surgery, we prescribed a novel medical therapeutic approach using conjugated estrogen-bazedoxifene to antagonize the proliferative effects of estrogen on endometrial tissue. After five months of therapy and repeat colonoscopy, no evidence of endometrial tissue remained in the hepatic flexure.

scholarly journals Isolated large renal hydatid cyst treated by laparoscopic nephrectomy

2021 ◽  
Author(s):  
Veda Murthy Reddy Pogula ◽  
Ershad Hussain Galeti ◽  
Bhargava Reddy Kanchiv ◽  
Ifrah Ahmad ◽  
Ayesha Galeti
Keyword(s):  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Male Patient ◽  
Hydatid Disease ◽  
Left Kidney ◽  
Laparoscopic Nephrectomy ◽  
Primary Hydatid Cyst ◽  
Large Primary

Hydatid disease is caused by Echinococcus granulosus, which causes rare isolated presentation in the kidneys, and is estimated to be about 2-4% of all cases. We herein present a case of a 45-year-old symptomatic male patient with a large primary hydatid cyst in the left kidney that was treated successfully by laparoscopic left nephrectomy.

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