Renal hydatid infection

Renal hydatid infection is extremely rare and is seen in less than 5% of patients with hydatid disease1. Infection is caused by a parasitic zoonosis with the Echinococcus tape worm. (see Hydatid disease for a general discussion). The kidneys are the most commonly affected urinary organs, but bladder, prostate, seminal vesicles and testis can also be involved2.

Clinical manifestations are variable, and have polymorph symptomatology which is rarely specific3.Hydaturia is a pathognomonic sign of renal hydatidosis and results from the rupture of a hydatid cyst into the collecting system1.

Plain film

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 sensitive2,and shows a unilocular or multilocular cysts with or without peripheral calcifications1. CT may also show a detached membrane, a multiloculated cyst with mixed internal density, and daughter cysts with lower density than the maternal matrix2.

The surgical approach remains the treatment of choice; particularly using laparoscopy and the resection should be mostly conservative3.

Share article

Article information

rID: 21847
System: Urogenital
Section: Pathology
Synonyms or Alternate Spellings:
  • Renal hydatid infections
  • Renal hydatid cyst
  • Renal hydatid cysts

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1
    Drag here to reorder.
  • Drag
    Case 2
    Drag here to reorder.
  • Drag
    Case 3
    Drag here to reorder.
  • Drag
    Case 4
    Drag here to reorder.
  • Updating… Please wait.
    Loadinganimation

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.