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VR-35
(VS)
EXCISIONAL TREATMENT OF RENAL HYDATID CYST MIMICKING RENAL TUMOUR
WITH DIODE LASER TECHNIQUE: A CASE REPORT
Ahsen KARAGÖZLÜ AKGÜL
1
, Murat UÇAR
2
, Fatih ÇELIK
3
and Nizamettin KILIÇ
1
1) Uludag University Medical Faculty, Pediatric Surgery Department Pediatric Urology Division, Bursa, TURKEY - 2)
Uludag Universitesi Tip Fakultesi Hastanesi, Pediatric Surgery, Bursa, TURKEY - 3) Uludag University Medical Faculty,
Pediatric Surgery Department, Bursa, TURKEY
PURPOSE
Cystic echinococcosis, one of the most important helmintic infections, is a serious life-treathening health problem in
developing countries. Hydatid cyst of kidney is a rare condition in children and can be treated with medical therapy or
surgical treatment for resistant cases. Here we present a case of renal hydatid cyst who was treated with laparoscopic
excison with diode laser.
MATERIAL AND METHODS
A 15 year old female patient was admitted with abdominal pain. Abdominal ultrasonogpaphy revealed a 32*23*19 mm
solid mass with cystic component at lower pole of right kidney. An indirect hemagglutination (IHA) test for
echinococcosis granulosus was performed which was positive at a 1:320 titre. Other laboratory tests were within normal
limits. The patient recieved albendazole therapy for 3 months. Control magnetic resonance imaging showed a solitary
leison with exophtic extensions which was containing large sepatations. No contrast enhancement could be detected
after gadalonnium injection As no regression could be detected radiologically surgical treatment was planned.
Laparoscopic renal lower pole mass cyst excision with diode laser was performed and the patient was hospitalized for
one day without any blood transfusion. Histopathological examination was consistent with hydatid cyst of kidney.
RESULTS
Our patient was treated with laparoscopic cyst excision successfully. At the postoperatvie second month the
ultrasonography of kidneys were normal.
CONCLUSIONS
The diagnosis of hydatid cyst of kidney is generally put incidentally and can be misdiagnosed as primary. kidney
tumours. For patients from endemic areas, hydatid cyst should always be included in the differential diagnosis.
Laparoscopic excision of renal hydatid cysts with diode laser is a feasible and safe technique for resistant cases.