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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 155-156

Renal hydatid cyst involving inferior vena cava: A rare entity


Department of Urology, Seth Gordhandas Sunderdas Medical College & King Edward Memorial Hospital, Mumbai 400 012, Maharashtra, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Rishikesh Velhal
Department of Urology, Seth Gordhandas Sunderdas Medical College & King Edward Memorial Hospital, Mumbai 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2242_19

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How to cite this article:
Velhal R, Zanwar PJ. Renal hydatid cyst involving inferior vena cava: A rare entity. Indian J Med Res 2020;152, Suppl S1:155-6

How to cite this URL:
Velhal R, Zanwar PJ. Renal hydatid cyst involving inferior vena cava: A rare entity. Indian J Med Res [serial online] 2020 [cited 2021 Jul 29];152, Suppl S1:155-6. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/155/316791

Patient's consent obtained to publish clinical information and images.


A 35 yr old female presented to the Urology outpatient department at the King Edward Memorial Hospital, Mumbai, India, in June 2018, with a complaint of dull-aching right flank pain. On examination, the patient had palpable right renal lump of 8 × 6 cm in size. On computed tomography scan abdomen, the patient was diagnosed with right renal hydatid cyst with involvement of the inferior vena cava (IVC) [Figure 1]A. The patient underwent right nephrectomy, with excision of around 5 cm length of IVC and reconstruction with a polytetrafluoroethylene graft with reimplantation of the left renal vein in the graft [Figure 1]B, [Figure 1]C, [Figure 1]D. The patient was followed up till one year and was asymptomatic without recurrence.Venous invasion by renal hydatid cyst is a rare entity, and it may require complex reconstruction.
Figure 1: (A) Computed tomography abdomen showing right renal hydatid cyst involving the inferior vena cava (arrow). (B) Excised specimen showing a large right renal hydatid cyst. (C) The inferior vena cava after reconstruction with polytetrafluoroethylene graft (arrow). (D) Specimen cut open to show the involved inferior vena cava wall (arrow) and daughter cysts (yellow arrow).

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Acknowledgment: Authors acknowledge the department of Cardiovascular and Thoracic Surgery, K.E.M. Hospital, Mumbai, Maharashtra, India, for providing vascular reconstruction images.

Conflicts of Interest: None.


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