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June 8, 1929, Vol 92, No. 23 >
ARTICLE | June 8, 1929

ECHINOCOCCUS CYSTS OF THE KIDNEY

MAURICE MELTZER, M.D.
JAMA. 1929;92(23):1925-1927. doi:10.1001/jama.1929.02700490025009.
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Echinococcus or hydatiu disease of the urinary tract is so infrequently encountered in this country that the diagnosis is likely to be made at the operating table or during the course of a postmortem examination, unless one has had previous experience with this condition. Routine urologic examinations do not elicit any characteristic observations. Tumor formations or advanced infections of the kidney (pyonephrosis) may simulate this disease so far as objective cystoscopic and roentgen studies are concerned. The diagnosis is made certain only when the hooklets of the parasite are identified in the urine or when small cysts are seen during the course of cystoscopic examination.

I was surprised to find at operation in the case reported here an enormous shell of a kidney which was filled with echinococcus cysts varying in size from a small grape to a hen's egg. An accurate count could not be made; approximately there were

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