Case Report: Total Nephrectomy for Renal Hydatidosis

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  • 1 Facultad de Ciencias de la Salud, Universidad Privada Norbert Wiener, Lima, Peru;
  • | 2 Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru;
  • | 3 Universidad Nacional San Antonio Abad, Cusco, Peru;
  • | 4 Hospital Regional del Cusco, Cusco, Peru;
  • | 5 Instituto Nacional de Salud de Peru, XXXXX, Peru

Cystic echinococcosis, known as hydatidosis, is a parasitic zoonosis caused by the larvae of Echinococcus granulosus. Renal hydatidosis is a very rare condition, representing 1% to 2% of cases. We present an 18-year-old patient who, after suffering a trauma, experienced severe lower back pain and persistent gross hematuria disproportionate to the trauma. Ultrasonography and tomography revealed cystic images compatible with right renal hydatidosis and hemoperitoneum. In addition, rapid clinical deterioration was observed with decreased hematocrit, leading to lumpectomy with abundant cysts inside and outside the right kidney, without viable parenchyma. Therefore, a total nephrectomy was performed. The patient was discharged with albendazole treatment. Pathological anatomic analysis confirmed the diagnosis of hydatidosis. Surgery remains the best therapeutic option. The use of ultrasonography improves the early detection of zoonosis, especially in pediatric patients, and favors the use of more conservative therapeutic techniques.

Author Notes

Address correspondence to Virgilio E. Failoc-Rojas, Av. La Fontana 501, La Molina, Lima, Peru. E-mail: virgiliofr@gmail.com

Authors’ addresses: Gustavo Hernández-Córdova and Sebastian Iglesias-Osores, Facultad de Ciencias de la Salud, Universidad Privada Norbert Wiener, Lima, Peru, E-mails: hernndezjorgegustavo@gmail.com and sebasiglo@gmail.com. Virgilio E. Failoc-Rojas, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru, E-mail: virgiliofr@gmail.com. Rigel Tarco, Universidad Nacional San Antonio Abad, Cusco, Peru, and Hospital Regional del Cusco, Cusco, Peru, E-mail: rigeltarco@yahoo.es. Franco Romaní, Hospital Regional del Cusco, Cusco, Peru, and Instituto Nacional de Salud de Peru, XXXXX, Peru, E-mail: fromanir@gmail.com.

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