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==== Renal echinococcosis ==== * Parasitic infection caused by the larval stage of the tapeworm Echinococcus granulosus. * Diagnosis and Evaluation ** Symptoms are those of a slowly growing tumor. ** Most patients are asymptomatic or have a flank mass, dull pain, or hematuria'''.''' ** '''Because the cyst is focal, it rarely affects renal function.''' ** '''Rarely, the cyst ruptures into the collecting system, and may be associated severe colic and passage of debris resembling grape skins in the urine (hydatiduria).''' ** '''Excretory urography typically shows a thick-walled cystic mass, occasionally calcified''' ** '''Diagnostic aspiration should not be performed''' because of the danger of rupture and spillage of the highly antigenic cyst contents and risk of fatal anaphylaxis * '''Management''' ** '''Surgery remains the mainstay of treatment'''
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