Hepatic and Retrovesical Hydatid Disease: A Rare Case of Multivisceral Hydatidosis
Amine Maazouz *
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Abdelilah Yechhab
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Mahmoud Dabbagh
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Youssef Ouazzani Touhami
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Hammad Soudi
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Najib Bahrou
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Yahia Zaine Al Abidine Khedid
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Mohamed El Absi
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
El Mahjoub Echarrab
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Mohamed El Ounani
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
El Hassan El Faricha El Alami
Emergency Digestive Surgery Department, Ibn Sina University Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Hydatidosis is endemic in Morocco. Although hepatic involvement is common, pelvic and retrovesical localizations are exceptionally rare. This study reports the observation of a patient aged 60 years who has presented for one year with paroxysmal pain in the right hypochondrium and a sensation of heaviness, as well as a notion of pollakiuria. Clinical examination revealed a firm, painless, and well-defined abdominal mass extending from the right hypochondrium to the epigastric region. Abdominal and pelvic CT revealed multiple hydatid cysts in the left liver and a retrovesical cystic mass. The diagnosis of hydatid cyst of the bladder was made intraoperatively. The surgical procedure involved resecting the protruding dome, aspirating the hydatid fluid, removing the daughter vesicles, and thoroughly washing the endocyst. Early recognition and appropriate surgical and medical management are essential to prevent complications and recurrence. Strengthening primary prevention measures, particularly canine control and food hygiene, remains fundamental to reducing the burden of hydatid disease in endemic countries.
Keywords: Hydatidosis, liver, bladder, case report, general surgery