Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report

INTRODUCTION: Retroperitoneal cystic lesions are uncommon heterogeneous clinical entities with no definite incidence. Their clinical presentations are different and their diagnosis is challenging. The management necessitates complete surgical excision, usually via laparotomy. Recently, laparoscopic...

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Autores principales: Foula, Mohammed S., AlQattan, Abdullah S., AlQurashi, Ahmed M., AlShaqaq, Hassan M., Mirza Gari, M. Khalid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698316/
https://www.ncbi.nlm.nih.gov/pubmed/31394383
http://dx.doi.org/10.1016/j.ijscr.2019.07.023
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author Foula, Mohammed S.
AlQattan, Abdullah S.
AlQurashi, Ahmed M.
AlShaqaq, Hassan M.
Mirza Gari, M. Khalid
author_facet Foula, Mohammed S.
AlQattan, Abdullah S.
AlQurashi, Ahmed M.
AlShaqaq, Hassan M.
Mirza Gari, M. Khalid
author_sort Foula, Mohammed S.
collection PubMed
description INTRODUCTION: Retroperitoneal cystic lesions are uncommon heterogeneous clinical entities with no definite incidence. Their clinical presentations are different and their diagnosis is challenging. The management necessitates complete surgical excision, usually via laparotomy. Recently, laparoscopic approach is being increasingly used. CASE PRESENTATION: A 29-year-old female patient was referred for an incidentally-discovered huge retroperitoneal cyst. Imaging studies revealed a retroperitoneal cyst, measuring 13 * 11 cm. Diagnostic laparoscopy showed a retroperitoneal cyst displacing the small bowel and the right colon to the left side. The peritoneal covering was dissected from the cyst with caution not to cause cyst rupture. The cyst was removed partially using Endobag, then aspiration of its content to facilitate its delivery. The patient had a smooth uneventful postoperative course. DISCUSSION: The retroperitoneal space is large, expandable space which enables retroperitoneal cystic lesions to grow asymptomatic. CT scan remains the best imaging modality. Aspiration of its content is not routinely done as its sensitivity and specificity has been reported low. Moreover, it carries the risk of leakage of the cyst content into the peritoneal space. Open surgical complete excision is the traditional management and remains of choice. However, laparoscopic management can be tried with caution not to cause content spillage. Intraoperatively, controlled aspiration of the cyst helps in its retrieval. CONCLUSION: Primary retoperitoneal mucinous cystadenoma is a rare clinical entity that is usually incidentally discovered. Laparoscopic excision is safe and feasible if done by an expert laparoscopic surgeon. Care should always be taken not to cause spillage of its content.
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spelling pubmed-66983162019-08-22 Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report Foula, Mohammed S. AlQattan, Abdullah S. AlQurashi, Ahmed M. AlShaqaq, Hassan M. Mirza Gari, M. Khalid Int J Surg Case Rep Article INTRODUCTION: Retroperitoneal cystic lesions are uncommon heterogeneous clinical entities with no definite incidence. Their clinical presentations are different and their diagnosis is challenging. The management necessitates complete surgical excision, usually via laparotomy. Recently, laparoscopic approach is being increasingly used. CASE PRESENTATION: A 29-year-old female patient was referred for an incidentally-discovered huge retroperitoneal cyst. Imaging studies revealed a retroperitoneal cyst, measuring 13 * 11 cm. Diagnostic laparoscopy showed a retroperitoneal cyst displacing the small bowel and the right colon to the left side. The peritoneal covering was dissected from the cyst with caution not to cause cyst rupture. The cyst was removed partially using Endobag, then aspiration of its content to facilitate its delivery. The patient had a smooth uneventful postoperative course. DISCUSSION: The retroperitoneal space is large, expandable space which enables retroperitoneal cystic lesions to grow asymptomatic. CT scan remains the best imaging modality. Aspiration of its content is not routinely done as its sensitivity and specificity has been reported low. Moreover, it carries the risk of leakage of the cyst content into the peritoneal space. Open surgical complete excision is the traditional management and remains of choice. However, laparoscopic management can be tried with caution not to cause content spillage. Intraoperatively, controlled aspiration of the cyst helps in its retrieval. CONCLUSION: Primary retoperitoneal mucinous cystadenoma is a rare clinical entity that is usually incidentally discovered. Laparoscopic excision is safe and feasible if done by an expert laparoscopic surgeon. Care should always be taken not to cause spillage of its content. Elsevier 2019-07-19 /pmc/articles/PMC6698316/ /pubmed/31394383 http://dx.doi.org/10.1016/j.ijscr.2019.07.023 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Foula, Mohammed S.
AlQattan, Abdullah S.
AlQurashi, Ahmed M.
AlShaqaq, Hassan M.
Mirza Gari, M. Khalid
Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title_full Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title_fullStr Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title_full_unstemmed Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title_short Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report
title_sort incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698316/
https://www.ncbi.nlm.nih.gov/pubmed/31394383
http://dx.doi.org/10.1016/j.ijscr.2019.07.023
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