MANEJO DIAGNÓSTICO Y TERAPÉUTICO DE LA HIDATIDOSIS RENAL

Pablo Luis Guzman Martinez-Valls, Beatriz Honrubia Vilchez, Almudena Rodríguez Tardido, Emilio Izquierdo Morejon, Bogdan-Nicolau Pietricica, Raúl Montoya Chinchilla, Antonio Rosino Sanchez, Gregorio Hita Villaplana, Antonio Romero Hoyuela, Bernardino Miñana Lopez

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Archivos Españoles de Urología ›› 2009, Vol. 62 ›› Issue (1) : 73-79. DOI: 10.4321/S0004-06142009000100013
Case Report

MANEJO DIAGNÓSTICO Y TERAPÉUTICO DE LA HIDATIDOSIS RENAL

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OBJECTIVE: Renal hydatidosis is caused byEchinococcus granulosus and is extremely rare, accountingfor 3-4% of the cases of hydatidosis, being the third site afterliver and lungs. It generally remains asymptomatic for yearsand the most frequent symptoms are pain, feeling of flankheaviness, and dysuria. In front of a compatible clinical pic-ture, we studied the diagnostic, therapeutic, and follow-upschemes reviewing the literature.METHODS: We performed an electronic bibliogra-phic search in PubMed (MEDLINE) which MESH terms “Echinococcosis”[MeSH] AND “urinary tract”[MeSH] andbibliographic citations. We perform a review on epidemio-logy, vital cycle of the parasite and management of patients with hydatidosis. Most published papers correspond to casereports from different localisations, although we found somereviews.RESULTS: We found a total of 137 papers, we selected23 of them because they were related; five were reviews,but we only include 10 of them in our references. Althoughmost were case reports, the reviews analyse the cycle of theEchinococcus and its various host sites (organs) in the humanhost. The human being may become an intermediary hostthrough contact with the definitive host (dogs) or by takingcontaminated water or vegetables.CONCLUSIONS: Thanks to the combination of history, ima-ging tests and serology we get close to the diagnosis in upto 80%. In many cases conservative surgery is possible, butafter suspicion we should always sterilise with albendazolebefore surgical treatment, and monitor serum titles of anti-Echinococcus antibodies

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Hydatidosis / Renal hydatid cyst / Albendazole

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Pablo Luis Guzman Martinez-Valls , Beatriz Honrubia Vilchez , Almudena Rodríguez Tardido , Emilio Izquierdo Morejon , Bogdan-Nicolau Pietricica , Raúl Montoya Chinchilla , Antonio Rosino Sanchez , Gregorio Hita Villaplana , Antonio Romero Hoyuela , Bernardino Miñana Lopez. MANEJO DIAGNÓSTICO Y TERAPÉUTICO DE LA HIDATIDOSIS RENAL. Archivos Españoles de Urología. 2009, 62(1): 73-79 https://doi.org/10.4321/S0004-06142009000100013

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