Kyste hydatique chez l’enfant : la taille du kyste serait-elle un facteur prédictif du geste chirurgical ? (original) (raw)
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Kyste hydatique retrovésical chez l’enfant : à propos de quatre cas
Journal de Pédiatrie et de Puériculture, 2012
ABSTRACT The retrovesical location of hydatic cyst is rare especially in children, even in endemic areas. Its diagnostic can be difficult especially in the absence of other sites. Objectives To study the clinical, radiological and means of therapeutic management of retrovesical hydatic cyst. Patients and methods Retrospective study of four cases of children with retrovesical hydatic cyst collected over a period of 13 years in pediatric surgery department “B” Children's Hospital of Tunis. Results There are two boys and two girls whose average age is 7 years 8 months. The clinical signs were pelvic pain in three cases, dysuria in one case associated with a pelvic mass in two cases. All patients underwent abdominopelvic ultrasonography that has objectified a retrovesical cystic mass in all cases. A supplement pelvic MRI was required in two cases, and pelvic CT in one case. The preoperative diagnosis of retrovesical hydatic cyst has been made in two cases. All patients underwent surgery and resection of the protruding dome of the cyst and drainage with uneventful postoperative course. Conclusion Whatever its clinical expression, the diagnosis of retrovesical hydatic cyst is mainly based on ultrasound. CT is necessary in case of doubt. Treatment by resection of the protruding dome and drainage of the residual cavity is sufficient in children.
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pédiatrie - Kystes hydatiques cérébraux de l’enfant (à propos de 9 cas)
2010
a maladie hydatique cérébrale est une parasitose très rare. Sa fréquence est estimée à 2 % même dans les pays d’endémie (1). Elle touche essentiellement l’enfant et constitue un problème de santé publique dans les pays d’élevage traditionnel de troupeau des moutons gardés par des chiens (2). À travers neuf observations pédiatriques de kystes hydatiques cérébraux, nous rappelons les aspects radiologiques et l’intérêt majeur de l’imagerie en coupe dans le diagnostic positif, la prise en charge et le suivi post-thérapeutique de cette affection.
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