Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0152169 (renal colic)
 811 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors report a series of 78 cases of hydatid cyst of the kidney collected during the past 17 years. There study material is based upon 72 IVU, 19 retrograde urograms, 22 renal arteriograms, 58 laboratory examinations, 12 renal echographies and 76 surgical operations. The usual presenting symptoms consist of lumbar or lumbo-abdominal swellings, lumbar pain, renal colic, hydaturia and haematuria, whilst bearing in mind that cysts of the upper pole of the right kidney may present with digestive problems as their first symptoms. Almost half of these cysts were calcified. The appearances by IVU were of a renal tumour. In endemic areas, the presence of calcifications is fairly typical of hydatid cyst. In the absence of calcifications, the IVU appearance is that of a renal cyst or carcinoma. The diagnosis is based upon the following: hydaturia, the existence of a second hepatic or pulmonary lesion and positive serological reactions. Renal echotomography has radically transformed the diagnostic approach since although recent, this investigation is reliable and shows identical appearances in the kidney to those found in hydatid cysts of the liver. The use of echography has made it possible to limit arteriography to heterogeneous masses with a solid component. Improved knowledge of echotomography should make it possible to avoid the topographical errors in which a renal hydatid cyst is thought to be in the liver. In the opinion of the authors, treatment should be surgical, whatever the procedure including sterilisation of the cyst by the injection of hypertonic saline and removal of the hydatid, i.e. the cyst ("kystectomy"). After these basic steps the surgeon may decide between simple resection of the protruding part of the cyst (partial perikystectomy, 25 cases) or ablation of all the adventitia (total perikystectomy, 26 cases). When damage to the renal parenchyma is too extensive, nephrectomy may be necessary (19 cases).
 ...
PMID:[Hydatid cyst of the kidney (author's transl)]. 745 50

Echinococcal disease is endemic in many areas of Asia, Europe, South America, the Near East, Australia, and New Zealand. Hepatic and pulmonary cysts are the most common presentation. Isolated renal hydatid cyst is an uncommon presentation of echinococcal disease, since renal involvement occurs in only 2-3% of cases. We present the case of a young man with renal colic, in whom the diagnosis of renal hydatid disease was established cytologically. Urine cytology, performed because of persistent hematuria, revealed scolices of Echinococcus granulosus and prompted further imaging investigation, and, ultimately, surgical treatment.
 ...
PMID:Renal hydatid cyst: urinary cytological diagnosis. 777 96

The clinical and radiological features of one case of renal hydatid disease communicating with collecting system are described. Introduction of hydatid elements into the renal pelvis due to rupture was accompanied by six episodes of renal colic. Although the sonographic features of renal hydatid disease have been described extensively, direct demonstration by ultrasonography of hydatid cyst ruptured into the renal pelvis has not, to our knowledge, been previously reported. The diagnosis has also been confirmed at surgery.
 ...
PMID:Sonographic diagnosis of the ruptured hydatid cyst of the kidney. 908 63

Hydatid disease of the urinary tract is seen rarely. Hydatiduria may be a finding of renal involvement, but it is a rare cause of renal colic. A case is reported of renal hydatid disease that was diagnosed during the investigation of renal colic. A 38-year-old woman presented with renal colic. She had a history of episodes of renal colic and occasional voiding of grape-like material. No calculus was found in the urinary tract by plain film or ultrasonographic examination. The histopathologic examination of this material revealed daughter cysts that are pathognomonic for hydatid disease. Ultrasound and computed tomography confirmed this diagnosis and right nephrectomy was performed without cyst perforation or any spilling of cyst content. Albendazole, 10 mg/kg per day, was given for 4 weeks (2 weeks preoperatively and 2 weeks postoperatively).
 ...
PMID:An unusual cause of renal colic: hydatiduria. 1138 49