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Case Reports
. 2009 Oct-Dec;25(4):531-3.
doi: 10.4103/0970-1591.57925.

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Kartik J Shah  1 , Arvind P Ganpule, Mahesh R Desai
Affiliations
Case Reports

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Kartik J Shah et al. Indian J Urol. 2009 Oct-Dec.

Abstract

Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. Isolated renal involvement is extremely rare. A 45-year-old female, working as a farmer, presented with vague abdominal pain and hydatiduria. Ultrasonography of the abdomen revealed hydatid cyst arising from the right kidney. Computerized tomography scan of the abdomen confirmed the findings. Laparoscopic transperitoneal nephrectomy was performed. Isolated right renal hydatid cyst was removed in toto. Microscopic examination confirmed the diagnosis of hydatid cyst. Transperitoneal laparoscopic approach gives a better working space which helped us to remain outside Gerota's fascia and prevent subsequent cyst rupture.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Daughter cyst in bladder; (b) Hydatid cyst in right upper and midpole kidney; (c) Isolated hydatid cyst in right mid and lower pole kidney
Figure 2
Figure 2
(a) Hilar dissection and division of vasculature; (b) Right nephrectomy specimen with daughter cyst in pelvis; (c) Microscopic appearance of scolices (H & E, 10×)
See this image and copyright information in PMC

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