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      Kyste hydatique rénal fistulisé dans les voies urinaires chez un hémodialysé chronique Translated title: Fistulized renal hydatic cyst in a patient on chronic hemodialysis

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          Translated abstract

          Hydatidosis is a parasitic infection caused by the larval stage of Echinococcus granulosus. Renal hydatic cyst is unusual. It may fistulize into the urinary excretory system, requiring specific management. The aim of our study was to highlight the diagnostic and therapeutic specificity of this pathology in patients on chronic hemodialysis among whom diuresis is not always preserved, in order to focus attention on hydaturia and to give an indication to diagnosis. We report the case of a 47-year old patient with a 4-year history of hemodialysis due to glomerular nephropathy detected at the final stage. Moreover, the patient had a 6-month histoiry of impaired general condition associated with right lower back pain, without fever. Abdominal CT scan showed right kidney measuring 13.4cm, with important ureteropyelocaliceal dilation, pushing the renal parenchyma associated with renal pelvis measuring 4.3cm, without detectable lithiasic obstacle. However, it showed membranous cyst at the level of the lower right renal polar parenchyma, measuring approximately 76.5 x 54 mm, contacting the renal pelvis, also containing a few membranes. The patient underwent thorough interview revealing the presence of hydaturia in the few drops of residual diuresis. Given that the patient had end stage chronic renal failure and that he was under renal replacement therapy, therapeutic approach was based on total nephrectomy.

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          Author and article information

          Journal
          Pan Afr Med J
          Pan Afr Med J
          PAMJ
          The Pan African Medical Journal
          The African Field Epidemiology Network
          1937-8688
          09 November 2017
          2017
          : 28
          : 219
          Affiliations
          [1 ]Service de Néphrologie, CHU Hassan II, Fès, Maroc
          [2 ]Equipe de Recherche REIN, Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Fès, Maroc
          Author notes
          [& ]Corresponding author: Nadia Kabbali, Service de Néphrologie, CHU Hassan II, Maroc
          Article
          PAMJ-28-219
          10.11604/pamj.2017.28.219.13790
          5881564
          29629005
          342e8a59-532b-46b7-9ec6-ad9f8f73a2e2
          © Nadia Kabbali et al.

          The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

          History
          : 04 September 2017
          : 23 September 2017
          Categories
          Images in Medicine

          Medicine
          kyste hydatique rénal,hémodialyse,maroc
          Medicine
          kyste hydatique rénal, hémodialyse, maroc

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