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SM Journal of Pediatric Surgery

Hydatid Cyst of the Kidney Open in the Urinary Tract: About One Observation

[ ISSN : 2573-3419 ]

Abstract
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Received: 06-Jun-2016

Accepted: 04-Nov-2016

Published: 09-Nov-2016

Case Report | Volume 2 - Issue 5 | Article DOI :

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Rachid Khemakhem¹, Houda Rahay¹, Faouzi Nouira¹, Sofiène Ghorbel¹, Fouzia Chennoufi¹, Wiem Douira², Lamia Gharsallah³, Ibtisem Bellagha², Sihem Barsaoui³, and Said Jlidi¹

¹Department of Pediatric Surgery, Children’s Hospital of Tunis, University of Tunis El Manar, Tunisia

²Department of Pediatrics, Children’s Hospital of Tunis, University of Tunis El Manar, Tunisia

³Department of Pediatric Radiology, Children’s Hospital of Tunis, University of Tunis El Manar, Tunisia

Corresponding Author:

Dr. Khemakhem Rachid, Department of pediatric surgery, Children’s Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia, Tel : 00216 97 546 249 or 00216 71 577800, Email: kakoum_ rochdi@yahoo.fr

Keywords

Hydatic Cyst; Kidney; Children

Abstract

Echinococcosis or hydatic cyst disease of the kidney is extremely rare in children and constitutes only 2-4% of all cases of hydatid disease. It can be complicated by opening in the urinary tract and cause obstructive renal failure.

We present a pediatric case of hydatid cyst of the kidney opened in the urinary tract and causing obstruction and urinary tract dilatation. The presentation is as acute pyelonephritis and the diagnosis was confirmed by renal ultrasound and CT. Surgical treatment is urgent and must be as conservative as possible by excision of the cyst and preservation of the renal parenchyma.

The kidney location of hydatic cyst is uncommon and represents only 2-5% of visceral involvement. The rupture of the cyst in the urinary tract is a complication that can be sometimes the first manifestation of this disease. Treatment should be undertaken urgently to best preserve the renal parenchyma.

Citation

Khemakhem R, Rahay H, Nouira F, Ghorbel S, Chennoufi F and Douira W. Hydatid Cyst of the Kidney Open in the Urinary Tract About One Observation. SM J Pediatr Surg. 2016; 2(5): 1030.