Alibrahim Hidar, Al Ali Amany, Bohsas Haidara, Ahmed Safaa Mohamed Alsharief, Ahmed Eman Mohammed Sharif, Swed Sarya
Faculty of Medicine, Aleppo University, Aleppo, Syria.
Faculty of Medicine, Hama University, Hama, Syria.
Int J Surg Case Rep. 2022 Aug;97:107393. doi: 10.1016/j.ijscr.2022.107393. Epub 2022 Jul 12.
The retroperitoneum is the anatomical compartment positioned behind the peritoneal cavity. It is separated into three primary spaces: the anterior pararenal, perirenal, and posterior pararenal spaces. Retroperitoneal cystic mass is a rare surgical problem that is often wrongly identified before surgery.
We report a case of a 27-year-old female presenting with abdominal swelling and pain starting from 9 months. An abdominal computed tomography scan showed a right adnexal mass with a high probability of a serous ovarian. The patient was diagnosed with ovarian tumors before surgery, but it was identified with a retroperitoneal cyst during surgery.
A retroperitoneal cyst's clinical signs and symptoms vary, and the diagnosis can often be challenging. Computed tomography scans are appropriate for assessing retroperitoneal pathology because they produce separate sectional images and couldn't find the correct diagnosis in previous cases.
This paper shows the rare case of primary retroperitoneal lesions, which can be hard to diagnose before surgery, even though medical imaging has come a long way.
腹膜后间隙是位于腹膜腔后方的解剖腔隙。它被分为三个主要间隙:肾旁前间隙、肾周间隙和肾旁后间隙。腹膜后囊性肿块是一种罕见的外科问题,术前常被误诊。
我们报告一例27岁女性患者,自9个月前开始出现腹部肿胀和疼痛。腹部计算机断层扫描显示右侧附件区有一肿块,高度怀疑为浆液性卵巢囊肿。该患者术前被诊断为卵巢肿瘤,但术中发现是腹膜后囊肿。
腹膜后囊肿的临床体征和症状各不相同,诊断往往具有挑战性。计算机断层扫描适用于评估腹膜后病变,因为它能产生单独的断层图像,但在之前的病例中无法做出正确诊断。
本文展示了原发性腹膜后病变的罕见病例,即使医学影像学已经取得了长足的进步,但术前仍可能难以诊断。