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Kyste hydatique rétrovésical: aspects diagnostiques et thérapeutiques

Retrovesical hydatid cyst: Diagnostic and therapeutic aspects

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Objectif

Déterminer les aspects cliniques, radiologiques, étio-pathogéniques et chirurgicaux des localisations rétrovésicales du kyste hydatique.

Patients et méthodes

De 1988 à 2005, 8 patients présentant un kyste hydatique rétro-vésical (KHRV) ont été hospitalisés et opérés au sein du service d'urologie de l'Hôpital Militaire Universitaire Mohammed V, Rabat, Maroc. L'âge moyen des patients était de 44 ans. Les signes d'irritation vésicale étaient les motifs les plus fréquents de consultation. Un seul cas d'hydaturie a été noté.

Résultats

Une kysto-périkystectomie partielle a été réalisée chez tous les patients. Les suites étaient simples. Un seul patient a présenté une fistule urinaire ayant bien évolué avec tarissement à 3 mois.

Conclusion

La localisation rétro-vésicale du kyste hydatique est rare et le traitement est avant tout chirurgical.

Abstract

Objective: To evaluate the clinical, radiological and surgical features of retrovesical hydatid eysts and to discuss their etiology and pathogenesis.Patients and Methods: Between 1988 and 2001, 8 patients with retrovesical hydatid cysts were hospitalized and operated at the Urology Department of the Military University Hospital Mohamed V. Rabat, Morocco. The mean age of the patients was 44 years. Bladder irritation was the most frequent presenting symptom. Hydaturia was found in one ease only.Results: Cysto-pericystectomy was performed in all patients. The post-operative eourse was uneventful and only one patient developed urinary fistula which was repaired successfully.Conclusion: Retrovesical hydatid eysts are rare and treatment is mainly surgical.

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Authors and Affiliations

  1. Service d'urologie, Hôpital Militaire Universitaire Mohammed V, Rabat, Maroc

    Y. El Harrech, H. Jira, A. Qarro, M. Ghadouane, Y. Ouhbi, A. Ameur & M. Abbar

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  1. Y. El Harrech
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  2. H. Jira
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  3. A. Qarro
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  4. M. Ghadouane
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  5. Y. Ouhbi
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  6. A. Ameur
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  7. M. Abbar
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Correspondence to Y. El Harrech.

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Harrech, Y.E., Jira, H., Qarro, A. et al. Kyste hydatique rétrovésical: aspects diagnostiques et thérapeutiques. Afr J Urol 14, 37–42 (2008). https://doi.org/10.1007/BF02994513

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  • DOI: https://doi.org/10.1007/BF02994513

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