Case Report: Total Nephrectomy for Renal Hydatidosis

Gustavo Hernández-Córdova, Virgilio E. Failoc-Rojas, Rigel Tarco, Sebastian Iglesias-Osores, Franco Romaní

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Cystic echinococcosis, known as hydatidosis, is a parasitic zoonosis caused by the larvae of Echinococcus granulosus. Renal hydatidosis is a very rare condition, representing 1% to 2% of cases. We present an 18-year-old patient who, after suffering a trauma, experienced severe lower back pain and persistent gross hematuria disproportionate to the trauma. Ultrasonography and tomography revealed cystic images compatible with right renal hydatidosis and hemoperitoneum. In addition, rapid clinical deterioration was observed with decreased hematocrit, leading to lumpectomy with abundant cysts inside and outside the right kidney, without viable parenchyma. Therefore, a total nephrectomy was performed. The patient was discharged with albendazole treatment. Pathological anatomic analysis confirmed the diagnosis of hydatidosis. Surgery remains the best therapeutic option. The use of ultrasonography improves the early detection of zoonosis, especially in pediatric patients, and favors the use of more conservative therapeutic techniques.

Original languageEnglish
Pages (from-to)714-717
Number of pages4
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume106
Issue number2
DOIs
StatePublished - 15 Nov 2021

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