Olgu Sunumu: Bir Erkek Cocukta Izole Bobrek Kist Hidatik/Case Report: Isolated Renal Hydatid Cyst in a Boy

Kist Hidatik Akdeniz havzasi, gelismekte olan ülkelerde önemli ve yaygin bir parazitik hastaliktir. Özgül olmayan yakinmalar ve rutin laboratuvar testlerinde pozitif bir bulgu olmamasi nedeniyle tanisi bazen güç olmaktadir. Izole böbrek kist hidatigi ender bir durumdur. Bu çalismada, on iki yasinda bir erkek çocukta saptanan izole sol böbrek kist hidatigi sunulmustur. Kist hidatik indirek hemaglütinasyon testi (IHA) negatifti. Izole böbrek kist hidatigi saptanan hastada nefrektomi yapildi. Böbrek kist hidatikli olgular asemptomatik bir klinikten böbrek kaybina kadar degisen spekturumda karsimiza çikabilir. O nedenle belirsiz flank agri yakinmasi gibi süpheli klinik bulgularla gelen olgularda bile tedavideki gecikmeye bagli organ kaybini önlemek için IHA sonucu negatif bile olsa böbrek kist hidatiginin göz önünde bulundurulmasi faydali olabilir. Anahtar Kelimeler: Kist hidatik, böbrek kist hidatigi, nefrektomi Hydatic cyst is a crucial and prevalent parasitic disease in the developing countries in the Mediterranean region. Its diagnosis is sometimes problematic because of non-specific complaints and unavailability of any positive results in a routine laboratory analysis. Isolated renal hydatid cysts are very rare. In this study, a primary left renal hydatid cyst which was found in a 12-year-old boy was presented. He was referred by another hospital to our department with a flank pain and cystic mass in left kidney. Indirect haemagglutination test (IHA) for Echinococcus was negative. Nephrectomy was performed with the diagnosis of renal cyst hydatic. Renal cyst hydatid may present with various clinical findings ranging from asymptomatic clinical course to total loss in renal function. It will be beneficial to consider a renal hydatid cyst in patients with blurred flank pain, even if IHA is negative. Keywords: Hydatic cyst, renal hydatic cyst, nefrectomia