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Renal hydatid disease: diagnosis and treatment
G J Tryfonas1, P P Avtzoglou, C Chaidos
1Paediatric Surgery Clinic, Hippokratio General Hospital, Thessaloniki, Greece.
Insights
Pediatric renal echinococcal cysts require prompt diagnosis via imaging and surgical intervention. Surgical management, including cystectomy or nephrectomy, led to successful outcomes with no recurrences in four children.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Radiology
Background:
- Echinococcal cysts can affect the kidneys, sometimes with concurrent liver involvement.
- Accurate diagnosis and effective treatment are crucial for pediatric patients with renal echinococcosis.
Purpose of the Study:
- To report on the diagnosis and surgical management of renal echinococcal cysts in children.
- To evaluate the effectiveness of diagnostic imaging and surgical approaches in pediatric cases.
Main Methods:
- Retrospective review of four pediatric cases treated over 10 years.
- Diagnosis confirmed using ultrasonography and computed tomography (CT).
- Surgical interventions included nephrectomy, heminephrectomy, and cystectomy.
Main Results:
- All four children underwent successful surgical treatment.
- Procedures performed were one nephrectomy, one heminephrectomy, and two cystectomies.
- Patients experienced uneventful recovery with no reported recurrence to date.
Conclusions:
- Ultrasonography and CT are valuable for diagnosing renal echinococcal cysts in children.
- Surgical management is effective, leading to complete recovery and absence of recurrence.
- Adherence to surgical principles ensures favorable outcomes in pediatric renal echinococcosis.
Abstract:
Four children with renal echinococcal cyst and associated liver involvement were treated in our clinic in the last 10 years. The diagnoses were suspected by ultrasonography and computed tomography and confirmed by the operative investigation that followed. One nephrectomy, one heminephrectomy and two cystectomies were performed. All children had uneventful recovery and they have not presented any recurrence so far. The value of the diagnostic modalities and the principles of the operative management are discussed.