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Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique

Hydatidosis is a parasitic infection caused by the larval stage of Echinococcus granulosus. Renal hydatic cyst is unusual. It may fistulize into the urinary excretory system, requiring specific management. The aim of our study was to highlight the diagnostic and therapeutic specificity of this patho...

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Autores principales: Kabbali, Nadia, Sqalli, Tarik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881564/
https://www.ncbi.nlm.nih.gov/pubmed/29629005
http://dx.doi.org/10.11604/pamj.2017.28.219.13790
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author Kabbali, Nadia
Sqalli, Tarik
author_facet Kabbali, Nadia
Sqalli, Tarik
author_sort Kabbali, Nadia
collection PubMed
description Hydatidosis is a parasitic infection caused by the larval stage of Echinococcus granulosus. Renal hydatic cyst is unusual. It may fistulize into the urinary excretory system, requiring specific management. The aim of our study was to highlight the diagnostic and therapeutic specificity of this pathology in patients on chronic hemodialysis among whom diuresis is not always preserved, in order to focus attention on hydaturia and to give an indication to diagnosis. We report the case of a 47-year old patient with a 4-year history of hemodialysis due to glomerular nephropathy detected at the final stage. Moreover, the patient had a 6-month histoiry of impaired general condition associated with right lower back pain, without fever. Abdominal CT scan showed right kidney measuring 13.4cm, with important ureteropyelocaliceal dilation, pushing the renal parenchyma associated with renal pelvis measuring 4.3cm, without detectable lithiasic obstacle. However, it showed membranous cyst at the level of the lower right renal polar parenchyma, measuring approximately 76.5 x 54 mm, contacting the renal pelvis, also containing a few membranes. The patient underwent thorough interview revealing the presence of hydaturia in the few drops of residual diuresis. Given that the patient had end stage chronic renal failure and that he was under renal replacement therapy, therapeutic approach was based on total nephrectomy.
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spelling pubmed-58815642018-04-06 Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique Kabbali, Nadia Sqalli, Tarik Pan Afr Med J Images in Medicine Hydatidosis is a parasitic infection caused by the larval stage of Echinococcus granulosus. Renal hydatic cyst is unusual. It may fistulize into the urinary excretory system, requiring specific management. The aim of our study was to highlight the diagnostic and therapeutic specificity of this pathology in patients on chronic hemodialysis among whom diuresis is not always preserved, in order to focus attention on hydaturia and to give an indication to diagnosis. We report the case of a 47-year old patient with a 4-year history of hemodialysis due to glomerular nephropathy detected at the final stage. Moreover, the patient had a 6-month histoiry of impaired general condition associated with right lower back pain, without fever. Abdominal CT scan showed right kidney measuring 13.4cm, with important ureteropyelocaliceal dilation, pushing the renal parenchyma associated with renal pelvis measuring 4.3cm, without detectable lithiasic obstacle. However, it showed membranous cyst at the level of the lower right renal polar parenchyma, measuring approximately 76.5 x 54 mm, contacting the renal pelvis, also containing a few membranes. The patient underwent thorough interview revealing the presence of hydaturia in the few drops of residual diuresis. Given that the patient had end stage chronic renal failure and that he was under renal replacement therapy, therapeutic approach was based on total nephrectomy. The African Field Epidemiology Network 2017-11-09 /pmc/articles/PMC5881564/ /pubmed/29629005 http://dx.doi.org/10.11604/pamj.2017.28.219.13790 Text en © Nadia Kabbali et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images in Medicine
Kabbali, Nadia
Sqalli, Tarik
Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title_full Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title_fullStr Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title_full_unstemmed Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title_short Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
title_sort kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique
topic Images in Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881564/
https://www.ncbi.nlm.nih.gov/pubmed/29629005
http://dx.doi.org/10.11604/pamj.2017.28.219.13790
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