Hydatid cysts are slowly enlarging cystic masses caused by a parasite named Echinococcus granulosus. The most frequent locations of the cysts are liver and lungs. They can be rarely located in kidney. We present our case of the renal hydatid cyst that we used the percutaneous aspiration method. The 9 years old male patient, with the opaque tomography a cystic mass was detected in the right kidney that was partly egzotific located with a thin periphery and a size of 12 × 8 plain contour observing septations in it. With the accordance of ultrasonography we performed (Puncture, aspiration, injection, reaspiration) (PAIR) procedure. Six months later during the ultrasonographic examination there was no fluid collection in the cyst or echogenity and it was observed that the cyst was completely collapsed. We think that this can be an alternative medical treatment for the kidney located hydatid cysts which are not related to the collective system and for the case of protection needed renal parenchyma in order not to have a loss of tissue and not to have a complication risk comparing to the previous cases.
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