Hinman Syndrome - Diagnosis and Management: A Rare Case Report.

Hinman syndrome or non-neurogenic neurogenic bladder is a rare clinical condition which is characterized by non-neurogenic urinary bladder dysfunction. It is a diagnosis of exclusion and patient presents with characteristics of a neurogenic bladder with external sphincter dyssynergia but without evidence of any neurologic alteration. The underlying pathology is not known. Bladder training and medical treatment have been recognized as effective management. However, when there is established damage to the upper urinary system or chronic renal failure, surgery is preferred over conservative treatment. Due to the low incidence of the disease, there is still no consensus for the most adequate treatment or management. We report the case of a pediatric patient presented with recurrent retention of urine with dysfunctional voiding and compromised renal functions. As patient already presented with upper urinary tract damage hence underwent successful surgical treatment for the same.

Laparoscopic Management of a Renal Hydatid Cyst Masquerading as Simple Renal Cyst.

Hydatid cyst is a parasitic disease caused by the tapeworm Echinococcus granulosus. Hydatid cyst disease mostly involves the liver and the lung, while renal involvement is rare. Hydatid disease may present in unusual ways and lead to diagnostic diffi culty and management problems. A high index of suspicion for hydatid disease should be maintained while evaluating complex cystic renal masses. Herein we present an interesting case who was diagnosed to have a simple renal cyst on contrast-enhanced computed tomogram, which turned out to be a renal hydatid cyst. Despite modern imaging methods, isolated renal hydatid disease might still cause diagnostic dilemma and hydatid cysts can be found in unusual localization. Th is case was managed laparoscopically.