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BÖBREĞİN HİDATİK KİST HASTALIĞI

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Abstract (2. Language): 
Cystic hydatic disease is a parasitic infestation caused by the larval form of Echinococcus granulosus. It is endemic in parts of Africa, Latin America, Mediterranean and Turkey. Hydatic cysts are mostly evident in the liver and lungs, while renal involvement is rare, comprising only 2% to 4% of cases. Renal hydatid disease mimicked other diseases. The combination of clinical history, imaging studies and serological, urine investigation yielded a reliable pretreatment diagnosis in only 50 % of cases and a presumptive diagnosis in 71%. Among imaging studies computerized tomography was the most valuable diagnostic examination. Moderate eosinophilia was found in half of the cases while a third of cases had scoleces in the urine. Renal sparing approach should be intended when preoperative diagnosis of hydatidosis has been considered. Renal conservative surgery is possible even for large lesions. Cystectomy is the simplest technique and can be followed safely by pedicled omentoplasty to treat residuel cavity. Nephrectomy is also electively performed for large lesions when the cyst causes tissue damage by pressure atrophy and in cases with evident communication with the urinary tract. The risk of surgical spillage and severe allergic reaction to the cyst should be considered. AIso, a renal preserving strategy may fail. However, medical management of disease is far from being a realistic option to surgery and should be conceived as adjuvant therapy or an alternative for poor surgical candidates.
Abstract (Original Language): 
Büyüyen hidatik kist, yaptığı basınç ile bir-likte böbreğe zarar verebilmektedir, aynı za-manda böbrek rüptürü, kistin infeksiyonu, ret-roperitoneal hemoraji ve perirenal hidatik yayı-lım gibi komplikasyonlara neden olmaktadır. Diğer tarafta ise cerrahiye bağlı komplikasyon-lar da gözardı edilmemelidir. Cerrahi planlan-madan önce yayılım ve buna bağlı gelişebile-cek şiddetli anafilaksi reaksiyonları değerlendi-rilmelidir; hastalığın medikal tedavisi cerrahi tedaviye göre realistik bir tedavi seçeneği ol-mamakla birlikte adjuvan tedavi olarak yada cerrahi yapılması uygun olmayan hastalarda al-ternatif tedavi seçeneğini oluşturmaktadır. Per-kütan kist drenajı ve alkol instillasyonu ise uy-gun durumlarda, minimal invaziv tedaviler içinde gelecek vaat eden ancak daha fazla de-neyim gerektiren bir seçenektir.
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REFERENCES

References: 

1. Afşar H, Yağcı F, Aybastı N, Meto Ş. Hydatid disease of the kidney. Br. J. Urol 1994; 73: 17-22.
2. Horchani A, Nouira Y, Kbaier I, Attyaoui F, Zribi AS. Hydatid Cyst of the kidney. Eur Urol 2000; 38: 461-467.
3. Buckley RJ, Smith S, Herschon S, Comisarow RH, Barkin M. Echinococcal disease of the kidney presenting as a renal filling defect. J. Urol 1985; 133: 660-661.
4. Solok V, Öner A, Faruk A, Kural AR, Yalçın V. Kliniğimizde son 10 yılda görülen böbrek kist hidatiği olguları. Türk Üroloji Dergisi 1985; 11: 15-21.
5. Ğöğüş O, Bedük Y, Topukçu Z. Renal hydatid disease. Br. J. Urol 1991; 68: 466-469.
6. Kirkland K. Urological aspects of hydatid disease. Br. J. Urol 1966; 38: 241-254.
7. Aragona F, Di Candio G, Serretta V, Fiorentini L. Renal hydatid disease: report of 9 cases and discussion of urologic diagnostic procedures. Urol Radiol 1984; 6: 182-6.
8. Angulo JC, Sanchez-Chapado M, Alfonso D, Jose E, Juan TC, Lope M. Renal echinococcosis: Clinical study of 34 cases. J. Urol 1997; 157: 787-794.
9. Von Sinner WN, Hellstrom M, Kagevi I, Norlen BJ. Hydatid disease of the urinary tract. J. Urol 1993; 149: 577.
10. Daniel WW, Jr. Hartman GW, Witten DM, Farrow GM, Kelalis PP. Calcified renal masses. A review of ten years experience at the Mayo Clinic. Radiology 1972; 103: 503.
11. Gharbi HA, Hassine W, Brauner MW, Dupoch K. Ultrasound examination of the hydatic liver. Radiology 1981; 139: 459-463.
12. Kalovidouris A, Pissiotis C, Pontifex G, Gouliamos A, Pentea S, Papavassiliou C. CT Characterization of multivesicular hydatid cysts. J. Comput. Assist Tomogr 1986; 10: 428.
13. Karabekios S, Gouliamos A, Kalovidouris A, Vlahos L, Papavassiliou C, Sakkas J. Features of computed tomography in hydatid cysts of the urinary tract. Brit. J. Urol 1989; 64: 575.
14. Goel MC, Sharma BC, Baijal SS. Hydatid disease of the kidney: evaluation and features of diagnostic procedures. Letter to the editor. J. Urol 1994; 152: 2104.
15. Shetty SD, Al-Saigh A, Ibrahim AI, Patil KP, Bhattachan CL. Management of hydatid cysts of the urinary tract. Brit. J. Urol 1992; 70: 258.
16. Babba H, Messedi A, Masmoudi S, Zribi M, Grillot R, Ambriose-Thomas P, Beyrouti I, Sahnoun Y. Diagnosis of human hydatidosis: Comparison between imaginary and six serologic techniques. Amer J. Trop. Med. Hgy 1994; 50: 64.
17. Morris DL, Smith PG. Albendazole in hydatid disease-hepatocelluler toxicity. Trans Roy. Soc. Trop. Med. Hyg. 1987; 81: 343.
18. McGreevy PC, Nelson GS. Larval cestode infections. In Hunter’s Tropical Medicine, 7th ed. Edited by G.T. Strickland. Philadelphia: W.B. Saunders Co., pp. 843-859, 1991.
19. Christopher PJ, Lopez WA. Hydatid disease notifications in New South Wales. Med. J. Aust 1970; 1: 54.
20. Todorov T, Vutova K, Petkov D, Mechkov G, Kolev K. Albendazole treatment of human cystic echinococcus. Trans Roy. Soc. Trop. Med. Hyg. 1988; 82: 453.
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21. Baijal SS, Basarge N, Srinadh ES, Mittal BR, Kumar A. Percutaneous management of renal hydatidosis: A minimally invasive therapeutic option. J. Urol 1995; 153: 1199.
22. Goel MC, Agarwal MR, Misra A. Percutaneous drainage of renal hydatid cyst: early results and follow-up. Brit. J. Urol 1995; 75: 724.
23. Beyribey S, Çetinkaya M, Adsan O, Çoskun F, Öztürk B. Treatment of renal hydatid disease by pedicled omentoplasty. J. Urol 1995; 154: 25.
24. Ğöğüş Ç, Şafak M, Baltacı S, Türkölmez K. Isolated renal hydatidosis: Experience with 20 cases. J. Urol 2003; 169: 186-189.

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