Presentation
Right flank pain.
Patient Data
There is a large unilocular cyst arising from the right kidney with a homogeneous content, extending to the Morison pouch. No detached membranes are seen.
There is a large well-circumscribed right renal unilocular cyst measuring (12 x 7 x 6 cm) with homogeneous fluid content and high attenuation wall on non-enhanced images, extending to the Morison pouch with a mass effect on the liver which is displaced superiorly. No enhancement is seen following IV contrast. A mild dilatation with distortion of the calyces.
The chest radiograph (not shown) was unremarkable.
Case Discussion
Renal hydatid infectiocommonplacen is a very rare manifestation of hydatid disease, seen in less than 5% of patients with hydatid disease.
The patient went on to have conservative surgical resection which confirmed the diagnosis.