Huge Retroperitoneal Cyst Masquerading as Ovarian Tumour: A Case Report

Johan, Syamim; Hassan, Muhammad Firdaus; Hayati, Firdaus; Azizan, Nornazirah; Payus, Alvin Oliver; See, Un Hean Edwin

doi:10.3389/fsurg.2020.585411

Cited by 8 publications

(11 citation statements)

References 7 publications

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“…The patient was diagnosed with ovarian tumors before surgery, and a laparotomy revealed a massive cyst that developed from the retroperitoneal region. By comparing our case with similar documented cases in the literature, we found Syamim Johan et al [13] , a patient with abdominal swelling for a 1-year duration. Clinically, the abdomen was soft and non-tender, with a mass palpable over the left lumbar area.…”

Section: Discussionsupporting

confidence: 72%

Massive retroperitoneal cyst impersonating ovarian tumor: A case report

Alibrahim

Ali²,

Bohsas

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionsupporting

confidence: 72%

Massive retroperitoneal cyst impersonating ovarian tumor: A case report

Alibrahim

Ali²,

Bohsas

et al. 2022

International Journal of Surgery Case Reports

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“…The retroperitoneal space allows cysts to grow to a large size, and symptoms due to the mass effect may include back pain, weight loss, fever, jaundice and referred lower-limb pain [ 1 ]. Compression of pelvic vessels or ureters has been previously reported [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Chyloma: A Case Report and Literature Review

Alabdulaaly,

AlAkeel,

Alfriedy

et al. 2024

Cureus

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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.

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“…We managed to treat the case with a laparoscopic approach [ Table 1 ]. [ 3 11 12 13 14 15 16 17 18 19 20 21 ]…”

Section: Discussionmentioning

confidence: 99%

Huge pelvic retroperitoneal cyst masquerading as hydrosalpinx

Harvitkar

Sankpal

Joshi³

2021

Journal of Family Medicine and Primary Care

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Primary retroperitoneal cysts (RPCs) are a rare surgical entity and are mostly detected incidentally. Usually, they are asymptomatic. At times, they may attain a huge size and may present with a large abdominal lump. Often, they pose a dilemma at diagnosis and for management. Though the laparoscopic approach has been described for their surgical excision, open surgery is still the preferred approach. We herein present a case of a voluminous retroperitoneal pelvic cystic mass in a 40-year-old female, which was diagnosed as hydrosalpinx on a magnetic resonance imaging scan. The patient was referred to us by the specialist in gynecologic laparoscopy after the incidental discovery of the RPC during his surgical intervention, purportedly for large hydrosalpinx. At our hospital, 4 days after the above intervention, she underwent laparoscopic complete excision of the cyst. Her postoperative recovery was uneventful and she was discharged on postoperative day 3 without any complications. Histopathology was suggestive of Mullerian inclusion cyst. This case report aims to share a rare case of a large primary retroperitoneal pelvic cystic lesion, which caused a diagnostic challenge preoperatively but was eventually managed successfully, laparoscopically.

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Huge Retroperitoneal Cyst Masquerading as Ovarian Tumour: A Case Report

Cited by 8 publications

References 7 publications

Massive retroperitoneal cyst impersonating ovarian tumor: A case report

Massive retroperitoneal cyst impersonating ovarian tumor: A case report

Retroperitoneal Chyloma: A Case Report and Literature Review

Huge pelvic retroperitoneal cyst masquerading as hydrosalpinx

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