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[Echinococcus of the kidney]

Ch Slavov, P Panchev, P Simeonov

    Khirurgiia
    |January 1, 1997
    PubMed
    Summary
    This summary is machine-generated.

    Kidney echinococcosis, a rare hydatid disease, was diagnosed and treated in eight patients. Preoperative diagnosis was achieved through laboratory and imaging methods, with no relapses reported post-surgery.

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    Area of Science:

    • Nephrology
    • Parasitology
    • Infectious Diseases

    Background:

    • Echinococcosis is a parasitic disease caused by tapeworms of the genus Echinococcus.
    • Renal echinococcosis is an uncommon manifestation, representing 2-3% of all echinococcosis cases.
    • This study focuses on a decade of diagnosed and treated cases of kidney hydatid disease.

    Purpose of the Study:

    • To report on the diagnosis and management of a cohort of patients with kidney echinococcosis.
    • To evaluate the diagnostic methods and treatment outcomes for this rare condition.
    • To highlight the clinical presentation and surgical interventions for renal hydatid disease.

    Main Methods:

    • Retrospective analysis of eight patients diagnosed and treated between 1987 and 1996.

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  • Diagnostic modalities included laboratory examinations (serological tests like Casoni and complement fixation), echography, and roentgenology.
  • Surgical interventions comprised nephrectomy and removal of the renal fat capsule.

    • Main Results:

    • Eight patients aged 30-61 years were treated for kidney echinococcosis.
    • Preoperative diagnosis was established in 87.5% of cases using laboratory and imaging techniques.
    • Positive serological tests were observed in 62.5% of patients; scoleces/Echinococcus fragments were found in urine in 33.3% of cases.
    • Surgical treatment involved nephrectomy in 62.5% and removal of the renal fat capsule in 37.5% of patients.
    • No relapses were recorded during the follow-up period.

    Conclusions:

    • Kidney echinococcosis, though rare, can be effectively diagnosed preoperatively using a combination of serological and imaging methods.
    • Surgical intervention, including nephrectomy or removal of the renal fat capsule, appears to be a successful treatment strategy.
    • The study indicates a favorable prognosis with no observed relapses following surgical management.