Pace Gianna, Galatioto Paradiso Giuseppe, Galassi Paolo, Vicentini Carlo
Department of Urology, University of L'Aquila Medical School, Italy.
Arch Ital Urol Androl. 2006 Mar;78(1):25-6.
Retroperitoneal cysts are rare lesions, variable from asymptomatic cases with incidental discovery to case with acute or chronic abdominal discomfort. A 50-year-old female after a car crash refered chronic abdominal pain. An X-ray revealed the presence of sternal and multiple costal fractures. Abdominal ultrasonography (US) and computed tomography (CT) lead to the discovery of a retroperitoneal cyst too. As the patient was well after fractures solution, we decided to control the cyst in the time. In symptomatic cases surgery is the treatment of choice. The advent of laparoscopic surgery allows resection of these cysts to be achieved without full laparotomy.
腹膜后囊肿是罕见的病变,从偶然发现的无症状病例到伴有急性或慢性腹部不适的病例各不相同。一名50岁女性在车祸后出现慢性腹痛。X线检查显示存在胸骨和多根肋骨骨折。腹部超声(US)和计算机断层扫描(CT)也发现了一个腹膜后囊肿。由于患者骨折愈合后情况良好,我们决定择期对囊肿进行观察。对于有症状的病例,手术是首选治疗方法。腹腔镜手术的出现使得无需进行完全剖腹手术就能切除这些囊肿。