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Case Reports
. 2025 Jul 16:62:103125.
doi: 10.1016/j.eucr.2025.103125. eCollection 2025 Sep.

Isolated renal hydatid cyst: A rare presentation of echinococcosis

Abel G Wubie  1 , Chernet T Mengistie  2 , Biruk T Mengistie  2 , Dereje G Andargie  1 , Daniel C Teka  2 , Temesgen H Gebremeskel  2
Affiliations
Case Reports

Isolated renal hydatid cyst: A rare presentation of echinococcosis

Abel G Wubie et al. Urol Case Rep. .

Abstract

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.

Keywords: Cystic echinococcosis; Nephron-sparing surgery; Renal hydatid cyst; Scolicidal precautions.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Pre-operative abdominal computed Tomography shows a mildly enhancing complex cystic mass with multiple peripheral small cysts and a central solid component situated in the superior part of the left kidney.
Fig. 2
Fig. 2
Intraoperative picture of cyst excision.
Fig. 3
Fig. 3
Intraoperative picture of a daughter cyst removal.
See this image and copyright information in PMC

References

    1. Ishimitsu D.N., Saouaf R., Kallman C., Balzer B.L. Best cases from the AFIP: renal hydatid disease. Radiographics. 2010;30(2):334–337. 10.1148/rg.302095149.PMID:20228320. - PubMed
    1. Horchani A., Nouira Y., Kbaier I., Attyaoui F., Zribi A.S. Hydatid cyst of the kidney. A report of 147 controlled cases. Eur Urol. 2000;38(4):461–467. doi: 10.1159/000020325. PMID: 11025387. - DOI - PubMed
    1. Zmerli S., Ayed M., Horchani A., Chami I., El Ouakdi M., Ben Slama M.R. Hydatid cyst of the kidney: diagnosis and treatment. World J Surg. 2001;25(1):68–74. doi: 10.1007/s002680020009. PMID: 11213158. - DOI - PubMed
    1. Gupta S., Das C.J. Imaging of hydatid cyst of kidney, ureter, and urinary bladder. Br J Radiol. 2022;95(1137) doi: 10.1259/bjr.20211373. - DOI - PMC - PubMed
    1. Centers for Disease Control and Prevention (CDC). Clinical Treatment of Echinococcosis [Internet]. Atlanta (GA): CDC; [updated 2019 Mar 27; cited 2025 Jun 22]. Available from: https://www.cdc.gov/echinococcosis/hcp/clinical-care/index.html.

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