PMC3593509_01
CT scan showing hydatid cysts present in upper pole of Kidney
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F1
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 [Figure 1] along with intermittent hematuria; whenever he passed the daughter cyst in urine he was relieved.
Hydatid cyst excreted in urine
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F2
The computed tomography (CT) scan revealed a cystic lesion in the upper pole of the left kidney [Figure 2] and the upper ureter.
Normal kidney and a hydatid cyst wall at upper pole of kidney
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F3
After 1 week, the patient underwent exploratory laparotomy, descending colon was mobilized, and left kidney [Figure 3] was exposed, and a hydatid cyst was located [Figure 4].
Incision made over a hydatid cyst showing daughter cysts
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F4
After 1 week, the patient underwent exploratory laparotomy, descending colon was mobilized, and left kidney [Figure 3] was exposed, and a hydatid cyst was located [Figure 4].
Photograph of some of the hydatid cyst
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F5
The hydatid cyst was laid open after instillation of the cetrimide solution and 176 small and large daughter cysts [Figure 5] were taken out of the cavity, the cavity was capitulated as we do after excision of lung hydatid.