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Isolated renal hydatidosis: experience with 20 cases
Cağatay Göğüş1, Mut Safak, Sümer Baltaci
1Department of Urology, School of Medicine, Amnkara University, Ankara, Turkey.
The Journal of Urology
|December 13, 2002
Summary
Isolated renal hydatidosis, a rare condition caused by Echinococcus granulosus larvae, presents diagnostic challenges. Surgical intervention is the primary treatment, offering a good prognosis with accurate diagnosis.
Area of Science:
- Parasitology
- Urology
- Radiology
Background:
- Cystic hydatidosis is endemic, typically affecting the liver and lungs.
- Renal hydatidosis is uncommon, often associated with other organ involvement.
- Isolated renal hydatidosis is exceptionally rare.
Purpose of the Study:
- To present the experience with 20 patients suffering from isolated renal hydatidosis.
- To discuss the clinical, laboratory, and radiological diagnosis.
- To review the treatment and outcomes of isolated renal hydatidosis.
Main Methods:
- Retrospective review of 20 patients with isolated renal hydatidosis over 25 years.
- Analysis of clinical presentation, laboratory findings, and radiological imaging.
- Evaluation of surgical and non-surgical treatment strategies.
Main Results:
- Lumbar pain was the primary symptom.
- Hydaturia was observed in only 5% of patients; no specific laboratory test exists.
- Computerized tomography demonstrated the highest sensitivity and specificity for diagnosis.
- Surgery was the main treatment: nephrectomy (13 patients), cystectomy/marsupialization (6 patients).
- No postoperative morbidity or mortality was recorded.
Conclusions:
- Isolated renal hydatidosis is a rare entity requiring accurate preoperative diagnosis.
- Radiological studies and serological tests aid diagnosis but can be challenging.
- Surgical treatment is primary, with a favorable prognosis when diagnosis and management are appropriate.