Akademik Veri Yönetim Sistemi
8th Eurasian Congress of Emergency Medicine & 18th Emergency Medicine Congress of Turkey & 17th World Interactive Network Focused on Critical Ultrasound Congress, Antalya, Türkiye, 01 Aralık 2022
RENAL HYDATIC CYST IN A
PATIENT WITH FLANK PAIN: A CASE REPORT
Gülsah Ucan, Buse Goktas, Mustafa
Emin Canakci, Filiz Baloglu Kaya, Nurdan Acar
Eskisehir Osmangazi University,
Department of EmergencyMedicine, Eskisehir
INDRODUCTION: Hydatid cyst is an endemic parasitic
disease caused by eccinococcus granulosus larvae in people with animal contact.
The hydatid cyst is mostly located in the liver, and the second most frequently
in the lung. Involvement of organs other than the liver or lung is unusual but
can lead to significant morbidity and mortality. In this case report, we
discussed a patient with renal hydatid cystin our emergency department.
CASE: A 23-year-old male patient presented with
complaints of left flank pain and dysuria for 2 days. The patient's body
temperature was 38oC, and other vitals were stable. He had no additional
disease in thehistory and drug use. There was costovertebral angle tenderness
at left. Laboratory examination (complete blood count, biochemistry parameters
and urinalysis) was evaluated as normal. A cystic lesion was observed in the
left kidney on point of care ultrasound. The patient's pain did not improve
despite treatment. Abdominal contrast-enhanced computed tomography imaging of
the patientrevealed a cystic lesion consistent with hydatid cyst in the left
kidney and perirenal stranding (Figures 1 and 2). The patient was admitted to
the urology clinic for cyst excision /treatment and follow-up.
CONCLUSION:
Hydatid cyst is often asymptomatic. The liver is affected in about two-thirds
of patients, the lungs in about 25 percent, and other organs such as the brain,
muscle, kidney, bone, heart, and pancreas in a small percentage of patients.
Renal involvement represents 2-4% of confirmed cases of hydatid disease. Cysts
in the kidney may cause hematuria or flank pain, or they may open into the
retroperitoneum, leading to morbidity and mortality. The diagnosis of hydatid
cyst is made by evaluating the clinical, radiological and laboratory findings
together. Flank pain is a common complaint in the emergency department and is
observed especially due to renal colic and urinary system infections. However,
although it is rare, patients should be evaluated/ doctors should be aware for
hydatid cyst, especially of patients with animal contact. In patients with
flank pain, rare etiologies should be kept in mind and appropriate referral
should be made to prevent possible complications. Hydatid cyst should be
included in the preliminary diagnosis, especially when evaluating other
etiologies with point of care ultrasound.
Keywords: emergency department, flank
pain, hydatid cyst