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Isolated Renal Hydatid Cyst Misdiagnosed and Treated as a Cystic Renal Tumor: a Diagnostic Pitfall by Moez Hamdani; Ahlem Bdioui; Oussama Belkacem; Nizar Jelidi; Atika Baccouche; Wiem Majdoub; Sihem Hmissa Belhaj Salah is a Medicine article available to read on EtoBox.

What is Isolated Renal Hydatid Cyst Misdiagnosed and Treated as a Cystic Renal Tumor: a Diagnostic Pitfall about?

## Abstract ## Background The hydatid disease is a parasitic infestation caused by the larval stage of Echinococcus granulosus. The renal location of this infectious disease is uncommon compared to hepatic or pulmonary ones. Most patients remain asymptomatic for years and hydatiduria is the only pathognomonic clinical symptom. We report a rare case of renal hydatid cyst misdiagnosed and treated as a renal tumor. ## Case presentation A 45-year-old woman with no significant medical or surgical history presented with left lumber pain with hematuria. Magnetic Resonance Imaging (MRI) displayed a left renal mass with cystic and solid components, showing discreet enhancement, classified as Bosniak IV. The diagnosis of renal malignant tumor was made. The patient underwent a lumbotomy. Intraoperatively, the mass was adherent to the perirenal fat and seemed to invade the adrenal gland. An enlarged left nephrectomy with surrenalectomy was performed. The gross specimen showed a superior polar renal cyst (9 × 7 × 6cm). The cyst had a thick wall and contained multiple internal smaller cysts recalling the appearance of the hydatid cyst. The microscopic study showed a cyst wall consisting of acell

Who reads Isolated Renal Hydatid Cyst Misdiagnosed and Treated as a Cystic Renal Tumor: a Diagnostic Pitfall?

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Author
Moez Hamdani; Ahlem Bdioui; Oussama Belkacem; Nizar Jelidi; Atika Baccouche; Wiem Majdoub; Sihem Hmissa Belhaj Salah
Publisher
Springer Science and Business Media LLC
Published
2021
Language
EN
Field
Medicine (Health Sciences)

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