A 45-year-old male patient presented with left flank pain that started a month ago. There was no history of fever or pyuria. Vital signs were normal. The rest of the systemic examination was unremarkable. There were no pathological findings on urinalysis or urine cytology. Ultrasonography revealed an 8×6.2×6 cm heterogeneous exophytic trending lesion at the lower pole of the left kidney. The lesion's walls were seen to be calcified in places, and the margin between the kidney and lesion was indistinct. It could not be differentiated by ultrasonography if the lesion is a complicated cyst or a mass. Magnetic resonance imaging scan of the upper abdomen also revealed a 9×7.5×7 cm cortical–parapelvic localized lesion at the lower pole of the left kidney, extending exophytically to the inferior. Given the possibility that the lesion is malignant, nephrectomy was planned. A laparoscopic approach was performed. Histopathological diagnosis was hydatid cyst. Enzyme-linked immunosorbent assay test for hydatid disease was negative. Albendazole 10 mg/kg twice a day was administered postoperatively for 3 weeks.
Keywords: Kidney, cancer, hydatid cyst