Primary renal echinococcosis with gross hydatiduria

BMJ Case Rep. 2017 Aug 24:2017:bcr2017220502. doi: 10.1136/bcr-2017-220502.

Abstract

Renal echinococcosis is a rare disease. It is usually asymptomatic but may present with pain, lump or in rare cases hydatiduria. Diagnosis is mainly by imaging but serology is usually false negative. We present a patient of renal echinococcosis who presented with passing of grape skin like structures in urine and was diagnosed to be a case of renal echinococcosis on the basis of positive serology, ultrasonographic and CT findings. The patient underwent a nephroureterectomy and was given albendazole preoperatively and postoperatively.

Keywords: gastrointestinal surgery; general surgery.

Publication types

  • Case Reports

MeSH terms

  • Albendazole / administration & dosage
  • Albendazole / therapeutic use
  • Animals
  • Antiprotozoal Agents / therapeutic use
  • Echinococcosis / diagnosis*
  • Echinococcosis / diagnostic imaging
  • Echinococcosis / drug therapy
  • Echinococcosis / surgery
  • Echinococcus granulosus / isolation & purification
  • Humans
  • Kidney Diseases, Cystic / drug therapy
  • Kidney Diseases, Cystic / parasitology*
  • Kidney Diseases, Cystic / pathology
  • Kidney Diseases, Cystic / surgery
  • Male
  • Middle Aged
  • Nephroureterectomy / methods
  • Rare Diseases
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography
  • Urine / parasitology*

Substances

  • Antiprotozoal Agents
  • Albendazole