Mykola Pasichnyk, Serhiy Pasichnyk, Aleksander Shulyak
- Danylo Halytsky Lviv National Medical University, Department of Urology, Ukraine
• Age: 40 years
• Gender: male
• Complaints: Acute renal colic
• History of disease: acutely admitted by ambulance to the
Rivne Regional Diagnostic Center (Ukraine)
• History of life: before hospitalization this patient had no
• Occupation: worker of the porcine farm
Results of clinical examination
• Pain in right flank, positive Merphy’s sign on the right
• Blood cell count: Hb– 122 g/L, Er– 3x1012/L, L– 6.8x109/L,
ESR– 9 mm/h
• Differentional blood cell count: eosinophilia (9%).
• Urinalysis: normal
• Blood biochemistry: normal
• Blood coagulation test: normal
• Right kidney: parenchyma normal, hydroureteronephrosis
to the upper third of ureter (its diameter 9 mm) without
• Left kidney, liver, spleen, regional lymphatic nodesnormal.
• Treatment: specific drugs against cystocercosis according
to the consultation of infectious disease specialist and
Conclusions of CT
Multiple calcifications in the soft tissues. Hydroureteronephrosis
to the upper third of the ureter on the right caused by the
periureteral calcification (diameter about 7 mm).
• This particular patient refused any treatment
• Follow-up of this case was not possible
• What is your diagnosis?
• What additional tests would you prescribe?
• What management would you suggest?
What is cysticercosis?
- Similarly to other parasitic diseases, cysticercosis is
caused by the use of contaminated food or water. Sometimes
autoinfection of the patient already infected with a tape worm
is noted. Unlike in the brain (or eyes), in the visceral organs
cysticercus is surrounded by the fibrous capsule, but remains
alive for several years.
Holger Pettersson, MD
Professor of Radiology, University Hospital, Lund, Sweden, 1995.