Frontiers in Surgery (Oct 2020)

Huge Retroperitoneal Cyst Masquerading as Ovarian Tumour: A Case Report

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

DOI
https://doi.org/10.3389/fsurg.2020.585411
Journal volume & issue
Vol. 7

Abstract

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Retroperitoneal cystic mass is a rare surgical condition that is often misdiagnosed preoperatively. Here, we report a case of a 56-year-old woman who presented with abdominal swelling for a 1-year duration, which was associated with lower abdominal pain for 6 months. Her abdominal radiograph showed a huge radiopaque lesion, and contrast-enhanced computed tomography scan of the abdomen reported it as a left ovarian serous cystadenoma causing local mass effect to the left ureter leading to mild left hydronephrosis. She underwent exploratory laparotomy and noted there was a huge retroperitoneal cystic mass. The histopathological assessment finding was consistent with a benign retroperitoneal cyst. This case report aims to share the rare case of primary retroperitoneal lesions, which can cause a diagnostic challenge preoperatively to all clinicians despite advanced achievement in medical imaging.

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