MedPeer Publisher

The Kidney as an Unusual Host: Imaging Features of a Complicated Renal Hydatid Cyst in a Child

Authors

Alia Yassine Kassab, Mehdi Salmane, Lina Lasri, Lina Belkouchi, Siham El Haddad, Nazik Allali, Latifa Chat

Journal Information

Journal: Medpeer Publisher

ISSN: 3066-2737

Volume: 3

Issue: 4

Date of Publication: 2026/04/25

DOI: 10.70780/medpeer.000QGSD

Abstract

Renal hydatid cysts are a rare manifestation of cystic echinococcosis in children and may present with nonspecific symptoms such as fever or flank pain. We report a 7-year-old child with prolonged contact with dogs who underwent abdominal imaging for febrile symptoms. Ultrasound revealed a well-defined cystic lesion in the upper and mid-pole of the right kidney with a thickened echogenic wall, internal septations, mobile echoes, and debris, suggestive of a complicated hydatid cyst. Contrast-enhanced CT confirmed a large cortical and parapelvic cyst with a hyperdense non-enhancing wall, fluid-density content, perirenal fat stranding, and an adjacent encysted fluid collection along the ipsilateral psoas muscle. This case highlights the complementary roles of ultrasound and CT in diagnosing renal hydatid disease, particularly superinfected cysts in pediatric patients from endemic regions.

Keywords

Renal hydatid cyst, Cystic echinococcosis, Pediatric hydatid disease, Ultrasound, Computed tomography

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