ABSTRACT
Our work plans to study problems of the hydatic cyst of the dome on the double therapeutic aspect and prognosis through a 120 study cases collected over a period of 19 years. In this retrospective study, the predominance is male 65.5% with an average of age of 36 years. The diagnosis is often carried late to the stage of complication (biliary rupture in 13 cases and pleurale at 4 invalids) or fortuitously. The pain of the right hypochondre is found in 79.16% of cases. The scanner remains the method of choice for the positive diagnosis. The tomography plays an important role in the exact topographic diagnosis and the count of cysts. Cysts were multiple in 41% of cases. The treatment is surgical. We deplore two death in this series and the morbidity was dominated by subphrenic abscess, pleuresie, biliary escapes, the suppuration of the residual cavity and the prolonged hyperthermy.
