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Case report: laparoscopic partial nephrectomy for isolated renal hydatid disease
A Basiri1, M Nadjafi-Semnani, A Nooralizadeh
1Urology-Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. abbasbasiri@hotmail.com
Journal of Endourology
|January 24, 2006
Summary
Laparoscopic partial nephrectomy successfully treated an isolated renal hydatid cyst in a 73-year-old male. This minimally invasive approach offers a potential solution for renal echinococcosis, with no recurrence observed six months post-surgery.
Area of Science:
- Urology
- Infectious Diseases
- Minimally Invasive Surgery
Background:
- Renal echinococcosis, caused by Echinococcus granulosus, is a rare parasitic infection.
- Isolated hydatid cysts in the kidney can present with non-specific symptoms, complicating diagnosis.
- Surgical intervention is often necessary for symptomatic or large renal hydatid cysts.
Observation:
- A 73-year-old male presented with weight loss and urinary symptoms attributed to an isolated calcified hydatid cyst in the right kidney.
- The cyst was located in the lower pole of the kidney.
- The patient's symptoms included cloudy, foul-smelling urine.
Findings:
- Laparoscopic partial nephrectomy was performed to completely remove the renal hydatid cyst.
- The surgical procedure was successful in excising the cyst en bloc.
- Postoperative imaging (CT scan) at six months showed no evidence of hydatidosis recurrence.
Implications:
- Laparoscopic partial nephrectomy represents a potentially effective and minimally invasive treatment for isolated renal echinococcosis.
- This case highlights the feasibility of nephron-sparing surgery for renal parasitic cysts.
- Further studies are warranted to establish laparoscopic partial nephrectomy as a standard treatment for this rare condition.