DOI: 10.36347/sjmcr.2019.v07i02.009

Pages: 132-134

Hydatid cyst is a frequent affection in Morocco. The urogenital localization accounts for 4% of the visceral sites. Observation / case: we repport the case of a 70 years old female patient, with no medical history, who has been experiencing dysuria for a month, complicated later by heamaturia and abdominal pain. The US and CT performed suspected a vesical hydatid cyst. Discussion: The bladder is an exceptionnal localization for hydatid cyst, often suspected when the patient is having micturition disorders and mostly in the presence of hydaturia wich is a pathognomic sign. The ultrasound usually confirms the diagnosis. CT is performed when the diagnosis is not sure and also to assess the extension and the impact on the urinary tract. The hydatid serology is positive in 30% to 70% of cases. Conclusion: The primary vesical hydatid cyst is rare, the clinical presentation is polymophic, ultrasound makes the diagnosis and CT allows the assessment of this affection.