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Retrovesical echinococcal cyst causing acute urinary retention.

C Selli, P Seghi, C Pratesi

    Urology
    |September 1, 1983
    PubMed
    Summary
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    A retrovesical echinococcal cyst caused acute urinary retention in a 56-year-old man with a history of hepatic hydatidosis. Surgical removal of the cyst resolved the condition, highlighting diagnostic imaging

    Area of Science:

    • Urology
    • Parasitology
    • Radiology

    Background:

    • Echinococcal cysts, typically affecting the liver, can rarely occur in the retrovesical space.
    • Hepatic hydatidosis surgery history increases suspicion for disseminated disease.
    • Acute urinary retention is a critical condition requiring prompt diagnosis and management.

    Observation:

    • A 56-year-old male presented with acute urinary retention.
    • Preoperative imaging, including conventional X-ray, pelvic sonography, and CT scanning, identified a retrovesical echinococcal cyst.
    • The patient had a prior surgical history of hepatic hydatidosis.

    Findings:

    • Diagnosis of a retrovesical echinococcal cyst was confirmed preoperatively.
    • The cyst was identified as the cause of acute urinary retention.

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    Implications:

    • This case underscores the importance of considering echinococcal disease in patients with a history of hydatidosis, even with unusual presentations.
    • Multimodality imaging is crucial for diagnosing retrovesical masses.
    • Surgical excision is an effective treatment for retrovesical echinococcal cysts, resolving urinary retention.