Primary renal echinococcosis, a rare disease involving the kidney, accounts for 2-3% of human echinococcosis. A 64-year-old female patient from Uzbekistan presented with complaints of left flank pain. A CT scan revealed a cystic mass in the upper to midpole of the left kidney. We regarded this lesion as a renal malignancy and hand-assisted laparoscopic radical nephrectomy was performed to remove the renal mass. The mass consisted of a large unilocular cyst and multiple smaller cysts without any grossly visible renal tissue. The final pathologic diagnosis was a renal hydatid cyst. For patients from endemic areas, hydatid cyst should be included in the differential diagnosis. Here, we present a case of renal hydatid cyst in a female patient who relocated from Uzbekistan to Korea.
Echinococcosis/*diagnosis/parasitology/*pathology ; Female ; Humans ; Kidney Diseases/*diagnosis/parasitology/*pathology ; Korea ; Laparoscopy ; Middle Aged ; Nephrectomy ; Radiography, Abdominal ; Tomography, X-Ray Computed ; Uzbekistan

Hydatid disease (HD) is an endemic illness in many countries, and it poses an important public health problem that's influenced by peoples' socioeconomic status and migration that spreads this disease. Although rare, it may occur in any organ or tissue. The most common site is the liver (59-75%), followed in frequency by lung (27%), kidney (3%), bone (1-4%) and brain (1-2%). Other sites such as the heart, spleen, pancreas and muscles are very rarely affected. Unusual sites for this disease can cause diagnostic problems. This pictorial essay illustrates various radiological findings of HD in the liver, spleen, kidney, pancreas, peritoneal cavity, omentum, adrenal, ovary, lung, mediastinum and retroperitoneum. Familiarity with the imaging findings of HD may be helpful in making an accurate diagnosis and preventing potential complications.
Abdominal Cavity/parasitology/radiography ; Adolescent ; Adult ; Child ; Child, Preschool ; Contrast Media/administration & dosage ; Digestive System/pathology/radiography/ultrasonography ; Digestive System Diseases/diagnosis/parasitology ; Echinococcosis/*diagnosis/parasitology/*radiography ; Endocrine Glands/parasitology/radiography ; Female ; Humans ; Kidney/parasitology/pathology ; Liver/parasitology/radiography ; Lung/parasitology/radiography ; Magnetic Resonance Imaging/methods ; Male ; Mediastinum/parasitology/radiography ; Middle Aged ; Pancreas/parasitology/radiography ; Radiographic Image Enhancement/methods ; Spleen/parasitology/radiography ; Tomography, X-Ray Computed/methods