Giant idiopathic benign retroperitoneal cyst: a case report

Maenhoudt, W.; Hoflack, S.; Bontinck, Jan; Beaurang, J; Charels, K.; Bontinck, Hugo

doi:10.1080/00015458.2019.1658352

Cited by 3 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Retroperitoneal cysts can be challenging to diagnose [ 6 ]. Kurtz et al [ 3 ] could identify no pathognomic features of retroperitoneal cysts and found the incidence to be similar in both sexes.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Chyloma: A Case Report and Literature Review

Alabdulaaly,

AlAkeel,

Alfriedy

et al. 2024

Cureus

View full text Add to dashboard Cite

Retroperitoneal chyloma is a rare entity that presents with non-specific symptoms. Although benign, it can cause complications due to the mass effect. In this case report, we present the case of a 24-year-old woman who presented with a complaint of left-sided colicky abdominal pain and mild dysuria for one year. On physical examination, there was only mild abdominal tenderness. Computed tomography (CT) revealed a thick-walled cystic retroperitoneal mass with a small amount of fat in the superior part and a displaced left hydronephrotic kidney. Magnetic resonance imaging (MRI) confirmed the findings and also revealed a fat-fluid level in the cyst. A laparotomy was performed, and the cystic mass, containing milky fluid, was excised. Histopathology showed a pseudocyst with chronic inflammation and a xanthomatous reaction, with no evidence of infection or malignancy. The patient recovered without complications and has not had a recurrence so far. Retroperitoneal chyloma is difficult to diagnose preoperatively. A definitive diagnosis is usually made only after surgery and a histopathological examination. The treatment of choice is a complete excision. Other approaches, such as marsupialization or drainage, will likely result in a recurrence. However, surgery in the retroperitoneal space is associated with a risk of injury to major vessels or organs. In conclusion, retroperitoneal chyloma is a rare entity that is best treated by complete excision. For small lesions, a wait-and-watch approach may be advisable.

show abstract

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Chyloma: A Case Report and Literature Review

Alabdulaaly,

AlAkeel,

Alfriedy

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…They are unilocular or multilocular cysts containing clear or milky fluid and lined with a single layer of flattened endothelium. One third of patients are asymptomatic, but cysts with considerable size may cause local compressing affect leading to stretching of vessels, adjacent organs, oedema, and subsequent thromboembolic complications [10,11] . They can occur anywhere in the area between the duodenum and rectum, but are most frequently seen in the small-bowel mesentery, especially the ileum.…”

Section: Discussionmentioning

confidence: 99%

Novel presentation of idiopathic benign retroperitoneal cyst: A case report

Doiphode¹,

Tripathi²,

Singh³

et al. 2023

Int. J. Surg. Sci.

View full text Add to dashboard Cite

Benign cystic lesions of the retroperitoneum and mesenterium are rarely encountered clinically 1, 2 . Up to 40% of such cysts are found incidentally during abdominal surgery for unrelated disorders 1 . Most patients display some chronic symptoms that necessitate therapeutic intervention. CT scan might help in confirming the diagnosis and surgery is the mainstay treatment. This report describes a case of a giant retroperitoneal cyst successfully excised in an adult female.

show abstract

“…Retroperitoneal cysts may, however, be challenging to diagnose. They can grow to a considerable size, while causing only few symptoms such as abdominal discomfort and a slowly increasing abdominal girth [ 5 ]. Other reported symptoms include back pain, weight loss, fever, jaundice or referred lower-limb pain [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A huge retroperitoneal cyst with a rare clinical presentation

Alqaisi

Wanders

Naujokaite

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

A 39-year-old male presented with deep venous thrombosis in the right lower limb. He had been experiencing increasing abdominal girth over several years, but this went undetected at the initial examination. Eighteen months later, a computed tomography was conducted, showing a huge retroperitoneal cyst (25 × 23 × 16 cm) lifting the right external iliac vessels. Complete surgical excision of the cyst was performed. The cyst was unilocular and contained 5 l of clear fluid. Histopathology examination found a thin cyst wall consisting of fibrous stromal tissue with a single-layer epithelium lining. Immunohistochemical staining revealed positivity for endothelial cell markers, CD31 and CD34, but negativity for the lymphatic marker podoplanin (D2–40), corresponding to a vascular origin, likely a venous malformation.

show abstract

Giant idiopathic benign retroperitoneal cyst: a case report

Cited by 3 publications

References 8 publications

Retroperitoneal Chyloma: A Case Report and Literature Review

Retroperitoneal Chyloma: A Case Report and Literature Review

Novel presentation of idiopathic benign retroperitoneal cyst: A case report

A huge retroperitoneal cyst with a rare clinical presentation

Contact Info

Product

Resources

About