1. Translumbar puncture of a renal hydatid cyst
- Author
-
Davies Er, Alexander Wd, and Roylance J
- Subjects
medicine.medical_specialty ,Definitive Therapy ,Contrast Media ,Hydatid cyst ,Renal hydatid cyst ,Punctures ,Kidney ,Asymptomatic ,Echinococcosis ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Radionuclide Imaging ,Ultrasonography ,Tomography, X-Ray ,business.industry ,Lumbosacral Region ,Technetium ,Urography ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Radiological weapon ,Female ,Kidney Diseases ,medicine.symptom ,business ,Pyelogram - Abstract
Translumbar renal puncture is a long established and generally accepted method for the radiological investigation of renal masses, particularly those that are asymptomatic, avascular and transonic (Jeans, Penry and Roylance, 1972). Hydatid cyst, however is exceptional in that, while it may meet all these criteria, its puncture is held to carry a considerable risk of promoting local dissemination (Wright, 1972), and of causing serious anaphylaxis. In order to avoid inadvertent puncture, prior Casoni testing of patients with calcified renal masses (Jeans et al., 1972) and of patients from areas with a notable incidence of the disease (Sherwood and Stevenson, 1971) has been advocated. A case is presented in which these precautions were inadequate to prevent puncture of an unsuspected renal hydatid cyst. The examination had no untoward effects and enabled the diagnosis to be established before definitive therapy had been planned. N.C., a 42-year-old English District Nurse was admitted to hospital one week aft...
- Published
- 1973