| Peer-Reviewed

Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst

Received: 27 July 2021     Accepted: 5 August 2021     Published: 23 August 2021
Views:       Downloads:
Abstract

Hydatidosis is endemic in Morocco. Pulmonary and hepatic localisations are the most frequent. The primary retrovesical location is exceptional. It is considered an “aberrant” or “ectopic” location and represents less than 1% of all cases of hydatid disease. Its diagnosis is sometimes difficult, requiring radiological and serological examinations. The aim of this case report is to present a specific management of a primitive retrovesical hydatid cyst and to compare it with the review of literature. We report an exceptional case of a large primary retrovesical hydatid cyst in a 45-year-old patient with no significant pathological history, of rural origin with a notion of contact with stray dogs. Symptoms are of late onset and represented essentially by voiding disorders associated with episodes of constipation and a feeling of heaviness. Abdominal and pelvic Ultrasound and CT scan identified a rounded, multivesicular retrovesical cystic mass. Because of the existence of intimate adhesions with neighboring organs, we opted for treatment with a partial cysto-pericystectomy. The post-operative follow up was without incident with a good long term evolution. There was no local recurrence and the patient did not complain of any urinary disorder. In order to reduce the incidence of hydatid disease in endemic countries, the best treatment remains primary prevention.

Published in International Journal of Clinical Urology (Volume 5, Issue 2)
DOI 10.11648/j.ijcu.20210502.13
Page(s) 70-73
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Hydatidosis, Parasitosis, Retroperitoneum, Bladder, Surgery

References
[1] Arslan H, Sakarya ME, Bozkurt M, Dilek FH, Yilmaz Y, Dilek ON, et al. Free hydatid cyst only covered with germinative membrane disrupted from fibrotic capsule in the peritoneal cavity: a case report. Acta Chir 1998; 9: 85-6.
[2] Kuhn P, Donato V, et al. Malaises graves précoces du nouveau-né: à propos de deux cas survenus en salle de naissance. XXXes Journées nationales de la Société française de médecine périnatale, Reims. 2000.
[3] Ameur A, Lezrek M, Boumdin H, Touiti D, Abbar M, Beddouch A. Le kyste hydatique du rein. Traitement a propos de 34 cas. [Hydatid cyst of the kidney based on aseries of 34 cases]. Prog. Urol. 2002; Jun; 12 (3): 409-14.
[4] Deve, F. L’echinococcose secondaire. Paris: Societe d’Editions Scientifiques. 1901.
[5] Laghzaoui Boukaidi M, Bouhya S, Soummani A, Hermas S, Bennan O, Sefrioui O, et al. Kystes hydatiques pelviens: à propos de huit cas. Gynecol Obstet Fertil. 2001 May; 29 (5): 354–7 [PubMed] [Google Scholar].
[6] Ben Adballah R, Hajri M, Aoun K, Ayed L. Kyste hydatique rétro- vésical et rétropéritonéal extrarénal: étude descriptive sur 9 cas. Prog Urol. 2000 Jun; 10 (3): 424–31 [PubMed] [Google Scholar].
[7] Benchekroun A, Hachimi M, Marzouk M, Lakrissa A, Abakka T, Faik M, et al. Les kystes hydatiquesretroperitoneaux. Trois nouveaux cas [Retroperitonealhydatid cysts. 3 new cases]. Acta Urol. Belg. 1987; 55 (4): 522-7.
[8] Angulo JC, Escribano J, Diego A, Sanchez Chapado M. Isolated retrovesical and extrarenal retroperitonealhydatidosis: Clinical study of 10 cases and literaturereview. J. Urol. 1998; Jan; 159 (1): 76-82.
[9] Bennani S, el Mrini M, Raji A, Meziane F, Benjelloun S. Les kystes hydatiques retro-vesicaux et retro-peritoneauxisoles. A propos de cinq cas. [Isolated retrovesical andretroperitoneal hydatid cysts. 5 case reports]. Ann. Urol. (Paris). 1992; 26 (6-7): 344-9.
[10] Vaidyanathan S, Rao MS, Sharma SK, Rajendran LJ, Subudhi CL, Rao KM, et al. Non-operative managementof a pelvic hydatid cyst communicating with the bladder. J. Urol. 1979; Feb; 121 (2): 245-7.
[11] Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology 1981 mai; 139 (2): 459–463.
[12] Horchani A, Nouira Y, Kbaier I, Attyaoui F, Zribi AS. Hydatid cyst of the kidney. A report of 147 controlledcases. Eur. Urol. 2000; Oct; 38 (4): 461-7.
[13] Zmerli S, Ayed M, Horchani A, Chami I, El Ouakdi M, Ben Slama MR. Hydatid cyst of the kidney: Diagnosisand treatment. World J. Surg. 2001; Jan; 25 (1): 68-74.
[14] Khouaja MK, Ben Sorba N, Haddad N, Mosbah AT. Le kyste hydatique retrovesical: Aspects diagnostiques ettherapeutiques a propos de 8 cas. [Retrovesical hydatidcyst: Diagnosis and treatment in 8 cases]. Prog. Urol. 2004; Sep; 14 (4): 489-92.
[15] Amar J, Garnier J, Faraj A, Taobane H, Aovame H, Oukheira H, et al. Le kyste hydatique retroperitonealisole. A propos de deux nouveaux cas. [Isolatedretroperitoneal hydatid cyst. Apropos of 2 new cases]. J. Urol. (Paris). 1983; 89 (2): 147-52.
[16] Haringanji C, Bruyere F, Boutin JM, Haillot O, Lanson Y. Un kyste symptomatique des vesicules seminalestraite par laparoscopie. [Laparoscopic treatment of asymptomatic seminal vesicle cyst]. Prog. Urol. 2004; Jun; 14 (3): 417-9.
[17] McDougall EM, Afane JS, Dunn MD, Shalhav AL, Clayman RV. Laparoscopic management of retrovesicalcystic disease: Washington University experienceand review of the literature. J. Endourol. 2001; Oct; 15 (8): 815-9.
[18] Njeh M, Hajri M, Chebil M, el Ouakdi M, Ayed M. Le kyste hydatique retro-vesical. A propos de deux cas. [Retrovesical hydatid cyst. Apropos of 2 cases.]. Ann. Urol. (Paris). 1993; 27 (2): 97-100.
[19] Emir L, Karabulut A, Balci U, Germiyanoglu C, Erol D. An unusual cause of urinary retention: A primary retrovesical echinococcal cyst. Urol. 2000; Nov; 56 (5): 856.
Cite This Article
  • APA Style

    Richepin Tidahy, Oussama Benabdelhak, Ali Khayat, Mustapha Ahsaini, Soufiane Mellas, et al. (2021). Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst. International Journal of Clinical Urology, 5(2), 70-73. https://doi.org/10.11648/j.ijcu.20210502.13

    Copy | Download

    ACS Style

    Richepin Tidahy; Oussama Benabdelhak; Ali Khayat; Mustapha Ahsaini; Soufiane Mellas, et al. Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst. Int. J. Clin. Urol. 2021, 5(2), 70-73. doi: 10.11648/j.ijcu.20210502.13

    Copy | Download

    AMA Style

    Richepin Tidahy, Oussama Benabdelhak, Ali Khayat, Mustapha Ahsaini, Soufiane Mellas, et al. Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst. Int J Clin Urol. 2021;5(2):70-73. doi: 10.11648/j.ijcu.20210502.13

    Copy | Download

  • @article{10.11648/j.ijcu.20210502.13,
      author = {Richepin Tidahy and Oussama Benabdelhak and Ali Khayat and Mustapha Ahsaini and Soufiane Mellas and Jalal Eddine El Ammari and Mohammed Fadl Tazi and Mohammed Jamal El Fassi and Moulay Hassan Farih},
      title = {Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst},
      journal = {International Journal of Clinical Urology},
      volume = {5},
      number = {2},
      pages = {70-73},
      doi = {10.11648/j.ijcu.20210502.13},
      url = {https://doi.org/10.11648/j.ijcu.20210502.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210502.13},
      abstract = {Hydatidosis is endemic in Morocco. Pulmonary and hepatic localisations are the most frequent. The primary retrovesical location is exceptional. It is considered an “aberrant” or “ectopic” location and represents less than 1% of all cases of hydatid disease. Its diagnosis is sometimes difficult, requiring radiological and serological examinations. The aim of this case report is to present a specific management of a primitive retrovesical hydatid cyst and to compare it with the review of literature. We report an exceptional case of a large primary retrovesical hydatid cyst in a 45-year-old patient with no significant pathological history, of rural origin with a notion of contact with stray dogs. Symptoms are of late onset and represented essentially by voiding disorders associated with episodes of constipation and a feeling of heaviness. Abdominal and pelvic Ultrasound and CT scan identified a rounded, multivesicular retrovesical cystic mass. Because of the existence of intimate adhesions with neighboring organs, we opted for treatment with a partial cysto-pericystectomy. The post-operative follow up was without incident with a good long term evolution. There was no local recurrence and the patient did not complain of any urinary disorder. In order to reduce the incidence of hydatid disease in endemic countries, the best treatment remains primary prevention.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Unusual Cause of Dysuria: A Large Primitive Retrovesical Hydatid Cyst
    AU  - Richepin Tidahy
    AU  - Oussama Benabdelhak
    AU  - Ali Khayat
    AU  - Mustapha Ahsaini
    AU  - Soufiane Mellas
    AU  - Jalal Eddine El Ammari
    AU  - Mohammed Fadl Tazi
    AU  - Mohammed Jamal El Fassi
    AU  - Moulay Hassan Farih
    Y1  - 2021/08/23
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcu.20210502.13
    DO  - 10.11648/j.ijcu.20210502.13
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 70
    EP  - 73
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20210502.13
    AB  - Hydatidosis is endemic in Morocco. Pulmonary and hepatic localisations are the most frequent. The primary retrovesical location is exceptional. It is considered an “aberrant” or “ectopic” location and represents less than 1% of all cases of hydatid disease. Its diagnosis is sometimes difficult, requiring radiological and serological examinations. The aim of this case report is to present a specific management of a primitive retrovesical hydatid cyst and to compare it with the review of literature. We report an exceptional case of a large primary retrovesical hydatid cyst in a 45-year-old patient with no significant pathological history, of rural origin with a notion of contact with stray dogs. Symptoms are of late onset and represented essentially by voiding disorders associated with episodes of constipation and a feeling of heaviness. Abdominal and pelvic Ultrasound and CT scan identified a rounded, multivesicular retrovesical cystic mass. Because of the existence of intimate adhesions with neighboring organs, we opted for treatment with a partial cysto-pericystectomy. The post-operative follow up was without incident with a good long term evolution. There was no local recurrence and the patient did not complain of any urinary disorder. In order to reduce the incidence of hydatid disease in endemic countries, the best treatment remains primary prevention.
    VL  - 5
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Urology Division, Centre Hospitalier Universitaire Hassan II, Fez, Morocco

  • Sections