Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report
Retroperitoneal Cysts (RPC) are uncommon, with an estimated incidence of 1 in 5,750 to 1 in 250,000. A 26-year-old woman presented with dull aching, non-radiating pain in the upper abdomen for the past two months, with no aggravating or relieving factors. On clinical examination of the abdomen, a...
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JCDR Research and Publications Private Limited
2023-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18380/64591_CE[Ra1]_F(IS)_PF1(AP_IS)_QC(KK_VI_IS)_PFA_NC(KM)_PN(KM).pdf |
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| author | Abhay M Philip Leo F Tauro |
| author_facet | Abhay M Philip Leo F Tauro |
| author_sort | Abhay M Philip |
| collection | DOAJ |
| description | Retroperitoneal Cysts (RPC) are uncommon, with an estimated incidence of 1 in 5,750 to 1 in 250,000. A 26-year-old woman presented
with dull aching, non-radiating pain in the upper abdomen for the past two months, with no aggravating or relieving factors. On clinical
examination of the abdomen, a grossly visible mass measuring approximately 10x10 cm with a smooth surface, firm consistency,
and well-defined borders was observed in the left lumbar and iliac region. Contrast-Enhanced Computed Tomography (CECT) of the
abdomen and pelvis revealed a well-circumscribed cystic lesion measuring 9.3x9.5x5.5 cm in the left lumbar region near the tail of
the pancreas. The pancreas appeared normal with no surrounding fat stranding or inflammatory changes. Peripheral enhancement
and peripheral wall calcification were observed. The patient underwent laparotomy and cyst excision. Intraoperatively, the cyst was
found to arise from the retroperitoneum located in the lesser sac. It was dissected out from the tail of the pancreas, and no obvious
communication with the pancreas was observed. The cyst was excised completely. Histopathological examination revealed a cyst with
absent endothelium, suggestive of a pseudocyst. Previous literature reports indicate that RPCs are very rare and are often discovered
incidentally. Patients may be asymptomatic or present with vague symptoms. Imaging can help diagnose these lesions, but surgery
is crucial in confirming the diagnosis. |
| first_indexed | 2024-03-11T21:30:12Z |
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| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-11T21:30:12Z |
| publishDate | 2023-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-c77ea2d6631e47028f3d4f15e823fcbf2023-09-27T10:35:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-09-011709010210.7860/JCDR/2023/64591.18380Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case ReportAbhay M Philip0Leo F Tauro1Junior Resident, Department of General Surgery, Father Muller Medical College, Mangalore, Karnataka, India.Professor, Department of General Surgery, Father Muller Medical College, Mangalore, Karnataka, India.Retroperitoneal Cysts (RPC) are uncommon, with an estimated incidence of 1 in 5,750 to 1 in 250,000. A 26-year-old woman presented with dull aching, non-radiating pain in the upper abdomen for the past two months, with no aggravating or relieving factors. On clinical examination of the abdomen, a grossly visible mass measuring approximately 10x10 cm with a smooth surface, firm consistency, and well-defined borders was observed in the left lumbar and iliac region. Contrast-Enhanced Computed Tomography (CECT) of the abdomen and pelvis revealed a well-circumscribed cystic lesion measuring 9.3x9.5x5.5 cm in the left lumbar region near the tail of the pancreas. The pancreas appeared normal with no surrounding fat stranding or inflammatory changes. Peripheral enhancement and peripheral wall calcification were observed. The patient underwent laparotomy and cyst excision. Intraoperatively, the cyst was found to arise from the retroperitoneum located in the lesser sac. It was dissected out from the tail of the pancreas, and no obvious communication with the pancreas was observed. The cyst was excised completely. Histopathological examination revealed a cyst with absent endothelium, suggestive of a pseudocyst. Previous literature reports indicate that RPCs are very rare and are often discovered incidentally. Patients may be asymptomatic or present with vague symptoms. Imaging can help diagnose these lesions, but surgery is crucial in confirming the diagnosis. https://www.jcdr.net/articles/PDF/18380/64591_CE[Ra1]_F(IS)_PF1(AP_IS)_QC(KK_VI_IS)_PFA_NC(KM)_PN(KM).pdfcyst excisionlaparotomylumbar regionretroperitoneum |
| spellingShingle | Abhay M Philip Leo F Tauro Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report Journal of Clinical and Diagnostic Research cyst excision laparotomy lumbar region retroperitoneum |
| title | Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report |
| title_full | Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report |
| title_fullStr | Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report |
| title_full_unstemmed | Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report |
| title_short | Primary (Idiopathic) Non-Pancreatic Retroperitoneal Pseudocyst in a Young Female: A Rare Case Report |
| title_sort | primary idiopathic non pancreatic retroperitoneal pseudocyst in a young female a rare case report |
| topic | cyst excision laparotomy lumbar region retroperitoneum |
| url | https://www.jcdr.net/articles/PDF/18380/64591_CE[Ra1]_F(IS)_PF1(AP_IS)_QC(KK_VI_IS)_PFA_NC(KM)_PN(KM).pdf |
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