Case Report: Total Nephrectomy for Renal Hydatidosis.
Gustavo Hernández-Córdova1,2, Virgilio E Failoc-Rojas3,4, Rigel Tarco5,6
1Facultad de Ciencias de la Salud, Universidad Privada Norbert Wiener, Lima, Peru.
The American Journal of Tropical Medicine and Hygiene
|November 15, 2021
Summary
A rare case of renal hydatidosis (echinococcosis) in an 18-year-old presented with trauma-like symptoms. Prompt diagnosis via imaging and surgical intervention were crucial for managing this parasitic zoonosis.
Area of Science:
- Parasitology
- Infectious Diseases
- Urology
Background:
- Cystic echinococcosis (hydatidosis) is a parasitic zoonosis caused by Echinococcus granulosus larvae.
- Renal hydatidosis is an exceptionally rare manifestation, accounting for only 1-2% of all cases.
Observation:
- An 18-year-old patient presented with severe lower back pain and gross hematuria following trauma.
- Imaging revealed cystic lesions consistent with right renal hydatidosis and hemoperitoneum.
- Clinical deterioration included decreased hematocrit, necessitating surgical intervention.
Findings:
- Surgical exploration revealed extensive cysts within and surrounding the right kidney, with no viable parenchyma.
- A total nephrectomy was performed, and pathological analysis confirmed hydatidosis.
- The patient received albendazole treatment post-surgery.
Implications:
- Surgery remains the primary treatment for renal hydatidosis.
- Ultrasonography is crucial for early zoonosis detection, particularly in pediatric cases.
- Early diagnosis facilitates more conservative therapeutic approaches.
