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COMMENTARY
Year : 2014  |  Volume : 6  |  Issue : 1  |  Page : 70-71  

Retrovesical hydatid cyst presenting with urinary retention and left kidney atrophy


Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, Singapore

Date of Web Publication13-Feb-2014

Correspondence Address:
Sivasubramanian Srinivasan
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore
Singapore
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How to cite this article:
Srinivasan S. Retrovesical hydatid cyst presenting with urinary retention and left kidney atrophy. Urol Ann 2014;6:70-1

How to cite this URL:
Srinivasan S. Retrovesical hydatid cyst presenting with urinary retention and left kidney atrophy. Urol Ann [serial online] 2014 [cited 2020 Nov 25];6:70-1. Available from: https://www.urologyannals.com/text.asp?2014/6/1/70/127014

The authors have reported a rare case of retrovesical hydatid cyst which had caused chronic obstructive changes in the left kidney. On diagnostic imaging, the differentials of a pelvic/retrovesical cyst in men are not many and include duplication cysts, mesenteric cysts, lymphocele in patients who have undergone radical surgeries, [1] and hydatid cysts. However, the reporting radiologist has to consider hydatid cyst as a likely possibility in an endemic area and alert the treating physician because of the management implications. There are several case series published recently. [2],[3],[4] Angulo et al. and Horchani [3],[4] also highlight the difficulties encountered in the surgical management of the complicated hydatid cysts in which a proportion of cases had adherence to the urinary bladder and total or partial cystectomy had to be done. Postoperative death was also reported by Horchani. There is a lot of improvement in the surgical techniques of hydatid cyst, such as the Palanivelu hydatid system (PHS), which is a special instrument [5] with a trocar and two channels, and can be used to aspirate the cyst without spilling the contents and for the treatment of pelvic hydatid cysts as well. This case report has teaching points to both radiologists as well as surgeons.

 
   References Top

1.Porpiglia F, Bellina M, Tarabuzzi R, Mari M, Destefanis P, Poggio M, et al. Pelvic ultrasound monitoring of lymphocele in patients treated with radical prostatectomy [in Italian]. Arch Ital Urol Androl 2000;72:194-6.  Back to cited text no. 1
    
2.Khouaja MK, Ben Sorba N, Haddad N, Mosbah AT. Retrovesical hydatid cyst: Diagnosis and treatment in 8 cases. Prog Urol 2004;14:489-92.  Back to cited text no. 2
    
3.Angulo JC, Escribano J, Diego A, Sanchez-Chapado M. Isolated retrovesical and extrarenal retroperitoneal hydatidosis: Clinical study of 10 cases and literature review. J Urol 1998;159:76-82.  Back to cited text no. 3
    
4.Horchani A, Nouira Y, Chtourou M, Kacem M, Safta ZB. Retrovesical hydatid disease: A Clinical study of 27 cases. Eur Urol 2001;40:655-60.  Back to cited text no. 4
    
5.Palanivelu C, Senthilkumar R, Jani K, Rajan PS, Sendhilkumar K, Parthasarthi R, et al. Palanivelu hydatid system for safe and efficacious laparoscopic management of hepatic hydatid disease. Surg Endosc 2006;20:1909-13.  Back to cited text no. 5
    




 

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