Sıtkı ÖZDAMAR, Emin Yener GÜLTEKİN, Cüneyt ÖZKÜRKÇÜGİL, Kazım ÇİMEN, Ali GÖKALP

Hidatik Kist: Tanısal Yöntemlerin İrdelenmesi

Bu retrospektif çalışmada, renal ve adrenal hidatik kist olgularının klinik ve tanı yöntemleriyle elde edilen bulguları gözden geçirdik ve bu bulguların ışığında doğru tanı ve tedavi için yöntem belirlemeye çalıştık. 7 olgumuzda tanımız tedavi sonrası ile uyumluydu. Olguların 6'sında böbrekte, 1'inde ise sol adrenal yerleşimli hidatik kist mevcuttu. Kitlelerin tedavi öncesi orijinini tanımlayabilmek için radyolojik ve laboratuvar testler yapıldı.Hidatik kist olgularının semptomları ve muayene bulguları nonspesifik olduğu için, tedavi öncesi en yararlı tanı yöntemi radyolojik çalışmalardır. Bilgisayarlı tomografi; özellikle serolojik testler ile kombine edildiğinde; ultrasonografi ve intravenöz piyelografiden daha üstündür. Hastalık nadir olmasına karşın, üriner sistemde yer işgal eden kitle varlığında ayırıcı tanıda kist hidatik olasılığı da akla gelmeli ve tedavi öncesi doğru tanı elde edebilmek için gayret sarf edilmelidir.

Anahtar Kelimeler:

Kist hidatik, böbrek, adrenal

Hydatid Disease: A Critical Approach to the Diagnostic Measures

In this retrospective study, we evaluated the clinical manifestations and the diagnostic findings of renal and adrenal hydatid disease, and to propose guidelines for correct diagnosis and treatment. A positive diagnosis of hydatid disease was made in 7 patients. 6 were renal hydatid cysts and the other was located in the left adrenal gland. Radiological investigation and laboratory tests were performed for correct pretreatment diagnosis of the masses.As the symptoms and physical findings are nonspecific for hydatid disease, the radiological investigations are the dominant diagnostic features. Computed tomography seems more accurate in the diagnosis of the hydatidosis than ultrasonography and intravenous pyelography and especially if it is combined with immunologic testing. Despite its rarity, hydatid disease should be considered in the differential diagnosis of space-occupying lesions of the urinary tract. Every effort should be done for correct pretreatment diagnosis.

Keywords:

Hydatid disease, kidney, adrenal,

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