Echinokokkose der Niere

Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) is seen arising from lateral cortex of interpolar region of right kidney (yellow arrow). It indents the liver parenchyma and shows few internal non-enhancing membranes (green arrow).
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Primary renal
hydatid cyst. A large thick-walled cystic lesion (red arrow) can be seen arising from lateral cortex of interpolar region of the right kidney (yellow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary
Hydatid cyst of kidney- A case report. Sagittal images shoe that lesion shows cleavage plane with liver preserved, hence the lesion is primarily of kidney. Communication with calyces is also evident.
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Renal cystic
echinococcosis; an unusual localization of echinococcosis. Sagittal CT image of the right kidney,shows the lesion in the lower pole of the kidney.
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen arising from interpolar region of right kidney (yellow arrow). The lesion shows a few internal non-enhancing membranes (green arrow) and daughter cysts (elbow arrows).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen arising from interpolar region of right kidney (yellow arrow). The lesion shows a few internal non-enhancing membranes (green arrow) and daughter cysts (elbow arrows).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen. It indents the liver parenchyma. The lesion shows a few internal non-enhancing membranes (green arrow) as well as daughter cysts (elbow arrows).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen. It indents the liver parenchyma. The lesion shows a few internal non-enhancing membranes (green arrow) as well as daughter cysts (elbow arrows).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion(red arrow) can be seen arising from the right kidney (yellow arrow). It indents the liver parenchyma. The lesion shows a few internal membranes (green arrow) and daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen arising from right kidney (yellow arrow). It indents the liver parenchyma. It shows few internal non-enhancing membranes (green arrow) and daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen arising from right kidney (yellow arrow). It indents the liver parenchyma. It shows few internal non-enhancing membranes (green arrow) and daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion(red arrow) can be seen arising from right kidney (yellow arrow). It indents the liver parenchyma. It shows few internal non-enhancing membranes (green arrow) and daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion (red arrow) can be seen indenting the liver parenchyma. The lesion shows a few internal non-enhancing membranes (green arrow) as well as daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion(red arrow) is seen arising from the right kidney(yellow arrow). It indents the liver parenchyma. The lesion shows a few internal membranes(green arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. Delayed IVU (intravenous urography) MIP image (axial view) shows splaying of right renal pelvis (blue arrow) due to the lesion (red arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. A thick-walled cystic lesion(red arrow) can be seen. The lesion shows a few internal membranes (green arrow) as well as daughter cysts (elbow arrow).
www.eurorad.org • CC by-nc-sa-4.0
Primary renal
hydatid cyst. Delayed IVU (intravenous urography) MIP image (coronal view) shows splaying of right renal pelvis (blue arrow) due to the lesion (red arrow).
www.eurorad.org • CC by-nc-sa-4.0
Renal cystic
echinococcosis; an unusual localization of echinococcosis. Ultrasound image; shows a well-defined thick wall cystic lesion with multiple internal floating membranes.
www.eurorad.org • CC by-nc-sa-4.0
Renal cystic
echinococcosis; an unusual localization of echinococcosis. Ultrasound image; shows the lesion in the lower pole of the right kidney.
www.eurorad.org • CC by-nc-sa-4.0
Renal cystic
echinococcosis; an unusual localization of echinococcosis. Non-enhanced axial CT image; shows a low attenuating mass with multiple internal floating membranes.
www.eurorad.org • CC by-nc-sa-4.0
Renal cystic
echinococcosis; an unusual localization of echinococcosis. Contrast-enhanced CT axial image; shows mild rim enhancement in the lesion.
www.eurorad.org • CC by-nc-sa-4.0
Primary
Hydatid cyst of kidney- A case report. Cystic lesion in relation to upper pole of right kidney with sir foci within.
www.eurorad.org • CC by-nc-sa-4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

Renal hydatid infection is a very rare manifestation of hydatid disease.

For a general discussion, and for links to other system specific manifestations, please refer to the article on hydatid disease.

Epidemiology

Renal hydatid infection is seen in less than 5% of patients with hydatid disease .

Clinical presentation

Clinical manifestations are variable, and have polymorph symptomatology which is rarely specific . Hydaturia is a pathognomonic sign of renal hydatidosis and results from the rupture of a hydatid cyst into the collecting system .

Pathology

Infection is caused by a parasitic zoonosis with the Echinococcus tapeworm. The kidneys are the most commonly affected urinary organs, but bladder, prostate, seminal vesicles and testis can also be involved .

Radiographic features

Plain radiograph

The plain x-ray may show a soft-tissue mass or a ring-shaped calcification in the renal region.

Excretory urography

May demonstrate caliceal distortion, caliectasis and a non-functioning kidney, possibly caused by the mass effect of cystic lesions.

Ultrasound

May show anechoic lesions with well-defined margins.

CT

CT is more accurate and sensitive ,and shows a unilocular or multilocular cysts with or without peripheral calcifications . CT may also show a detached membrane, a multiloculated cyst with mixed internal density, and daughter cysts with lower density than the maternal matrix .

Treatment and prognosis

The surgical approach remains the treatment of choice; particularly using laparoscopy and the resection should be mostly conservative .

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Echinokokkose der Niere:
Echinokokkose
 
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Nierentumor
 
Wikipedia • CC BY-SA 3.0
zystische
Läsionen der Niere
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