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Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance

Hydatid disease (HD) is an accidental human parasitic infestation by cestodes and is most commonly caused by Echinococcus granulosus. Liver happens to be the most common site of involvement, although involvement of other organ symptoms is not uncommon. Involvement of the retrovesical pouch by hydati...

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Autores principales: Kumar, Santosh, Chandna, Abhishek, Manoharan, Vignesh, Parmar, Kalpesh M., Mandal, Subhajit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Second Military Medical University 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356033/
https://www.ncbi.nlm.nih.gov/pubmed/34401339
http://dx.doi.org/10.1016/j.ajur.2019.12.006
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author Kumar, Santosh
Chandna, Abhishek
Manoharan, Vignesh
Parmar, Kalpesh M.
Mandal, Subhajit
author_facet Kumar, Santosh
Chandna, Abhishek
Manoharan, Vignesh
Parmar, Kalpesh M.
Mandal, Subhajit
author_sort Kumar, Santosh
collection PubMed
description Hydatid disease (HD) is an accidental human parasitic infestation by cestodes and is most commonly caused by Echinococcus granulosus. Liver happens to be the most common site of involvement, although involvement of other organ symptoms is not uncommon. Involvement of the retrovesical pouch by hydatidosis is generally secondary in nature with an incidence of 0.1%–0.5% only. Primary retrovesical hydatid cyst (RVHC) is extremely rare with only few cases in existing literature. RVHC can present with a wide gamut of symptoms ranging from asymptomatic to obstructive uropathy. A 38-year-old male presented to us with complaints of lower urinary tract symptoms (LUTS) and was found to have an isolated primary retrovesical hydatid cyst on evaluation. The RVHC had compressed the right ureter leading to a grossly hydronephrotic non-functional right kidney. The patient was started on albendazole therapy and underwent robot assisted right nephroureterectomy and partial pericystectomy for the RVHC. The postoperative period was uneventful with resolution of symptoms. This report highlights the various clinical presentations of RVHC as well as the minimal invasive management of this rare entity.
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spelling pubmed-83560332021-08-15 Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance Kumar, Santosh Chandna, Abhishek Manoharan, Vignesh Parmar, Kalpesh M. Mandal, Subhajit Asian J Urol Case Report Hydatid disease (HD) is an accidental human parasitic infestation by cestodes and is most commonly caused by Echinococcus granulosus. Liver happens to be the most common site of involvement, although involvement of other organ symptoms is not uncommon. Involvement of the retrovesical pouch by hydatidosis is generally secondary in nature with an incidence of 0.1%–0.5% only. Primary retrovesical hydatid cyst (RVHC) is extremely rare with only few cases in existing literature. RVHC can present with a wide gamut of symptoms ranging from asymptomatic to obstructive uropathy. A 38-year-old male presented to us with complaints of lower urinary tract symptoms (LUTS) and was found to have an isolated primary retrovesical hydatid cyst on evaluation. The RVHC had compressed the right ureter leading to a grossly hydronephrotic non-functional right kidney. The patient was started on albendazole therapy and underwent robot assisted right nephroureterectomy and partial pericystectomy for the RVHC. The postoperative period was uneventful with resolution of symptoms. This report highlights the various clinical presentations of RVHC as well as the minimal invasive management of this rare entity. Second Military Medical University 2021-07 2019-12-13 /pmc/articles/PMC8356033/ /pubmed/34401339 http://dx.doi.org/10.1016/j.ajur.2019.12.006 Text en © 2021 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kumar, Santosh
Chandna, Abhishek
Manoharan, Vignesh
Parmar, Kalpesh M.
Mandal, Subhajit
Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title_full Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title_fullStr Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title_full_unstemmed Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title_short Conquering new battlegrounds: Successful management of isolated giant retrovesical hydatid cyst with robotic assistance
title_sort conquering new battlegrounds: successful management of isolated giant retrovesical hydatid cyst with robotic assistance
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356033/
https://www.ncbi.nlm.nih.gov/pubmed/34401339
http://dx.doi.org/10.1016/j.ajur.2019.12.006
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