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Retrovesical echinococcal cyst causing renal failure and nocturnal enuresis in a child
L Emir1, C Germiyanoglu, A Lokumcu
1Department of Urology, Ankara Teaching and Research Hospital, Ministry of Health, Ankara, Turkey.
Insights
A rare childhood case of a retrovesical hydatid cyst caused urinary issues and thirst. Surgical removal successfully relieved symptoms without complications, marking a unique pediatric presentation.
Area of Science:
- Pediatric Urology
- Parasitology
- Surgical Case Reports
Background:
- Hydatid cysts, caused by Echinococcus granulosus, are typically found in adults.
- Retrovéscical hydatid cysts are exceptionally rare, with no documented pediatric cases.
- This condition can lead to significant urinary tract complications.
Observation:
- A large retrovesical hydatid cyst presented in a child.
- Symptoms included obstructive uropathy, polydipsia (excessive thirst), and secondary nocturnal enuresis (bedwetting).
- The cyst was densely adhered to adjacent anatomical structures.
Findings:
- Surgical intervention involved a partial cystectomy due to the cyst's adherence.
- The procedure was completed without perioperative or postoperative complications.
- Post-surgery, the patient experienced rapid relief from presenting symptoms.
Implications:
- This case highlights the possibility of retrovesical hydatid cysts in pediatric populations.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- It expands the understanding of rare pediatric urological conditions and parasitic infections.
Abstract:
Although retrovesical hydatid cysts are observed in adulthood albeit very rarely, to our knowledge there is no case reported in childhood. In the current case, a huge retrovesical hydatid cyst caused obstructive uropathy, polydipsia, and secondary nocturnal enuresis in a child. Because the retrovesical hydatid cyst was firmly adherent to the neighboring structures, partial cystectomy could be performed. Perioperative and postoperative complications did not occur, and the symptoms relieved in the early postoperative period.