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Updated: Sep 27, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
[Hydatid cyst on horseshoe kidney]
Yann Lammertyn1, Gilles Cuvellier, Alain Louppe
1Service d'Urologie, Centre Hospitalier Inter-Cornouaille, 4, avenue Thépot, 29000 Quimper. ylammertyn@yahoo.fr
Insights
Hydatid cysts on horseshoe kidneys are rare and often diagnosed late. Conservative surgical treatment is recommended for this benign condition, with diagnosis confirmed by serology.
Area of Science:
- Urology
- Radiology
- Parasitology
Background:
- Hydatid cysts are uncommon in horseshoe kidneys, particularly in temperate regions.
- Diagnosis is frequently delayed due to the rarity of this condition.
Observation:
- Clinical presentation includes adjacent organ compression, mass effect, and pain.
- Diagnostic modalities include ultrasonography, CT, and potentially arteriography for vascular assessment.
Findings:
- Hydatid cysts can be misdiagnosed as malignant renal tumors.
- Serological tests are crucial for confirming the diagnosis of hydatid disease.
- Treatment involves conservative surgical approaches due to the benign nature of the cyst.
Implications:
- Early and accurate diagnosis is essential for appropriate management.
- Conservative surgery preserves renal function in horseshoe kidney patients.
- Understanding the differential diagnosis prevents unnecessary aggressive treatments for benign conditions.
Abstract:
Hydatid cyst on horseshoe kidney is a rare entity in temperate climates and the diagnosis is often delayed. The clinical features are marked by signs of compression of adjacent organs, mass syndrome and pain. The diagnosis is based on ultrasonography and CT. Arteriography can be useful to study the blood supply of the horseshoe kidney. Treatment is surgical and must remain conservative, as this is a benign disease. In a small percentage of cases, the hydatid cyst can be mistaken for a cystic malignant renal tumour, but the diagnosis is confirmed by serology. The course is usually favourable.
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