Left renal hydatid cyst presenting as hematuria and macroscopic hydatiduria since last ten years
A 40-year-old male presented with colicky abdominal pain for 10 years and intermittent passage of small, white grape-like structures in the urine [] along with intermittent hematuria; whenever he passed the daughter cyst in urine he was relieved. He was taking analgesics on feeling of pain. He came for admission as the pain had subsided but there was dysuria and nausea. On systemic examination, the abdomen was normal. Hemogram was normal and liver function tests were within normal limit, blood urea was 55 mg/dl and serum creatinine was 1.7 mg/dl. The chest X-ray P-A view was normal.\nUltrasonography revealed a multiseptate cyst in the left kidney. The left kidney was compressed by cysts with splitting of the pelvicalyceal system. The right kidney was normal in size and echotexture, liver was normal. The computed tomography (CT) scan revealed a cystic lesion in the upper pole of the left kidney [] and the upper ureter. The excretion of contrast was normal from both the kidneys. The patient was started with albendazole. After 1 week, the patient underwent exploratory laparotomy, descending colon was mobilized, and left kidney [] was exposed, and a hydatid cyst was located []. The hydatid cyst was laid open after instillation of the cetrimide solution and 176 small and large daughter cysts [] were taken out of the cavity, the cavity was capitulated as we do after excision of lung hydatid. The patient was discharged after 8 days and was advised albendazole 400 mg BD for 4 weeks.