Kelly-Hedrick Margot, Frerich Jason M, Peairs Emily M, Cardona Diana M, Arcot Rohith, Smith Brandon, Abern Michael, Miller Chad, Abd-El-Barr Muhammad M
Duke University School of Medicine, Durham, NC 27710, USA.
Department of Neurosurgery, Duke University Medical Center, Durham, NC 27710, USA.
J Surg Case Rep. 2022 Dec 21;2022(12):rjac588. doi: 10.1093/jscr/rjac588. eCollection 2022 Dec.
Dermoid cysts rarely present in the retroperitoneal space or during adulthood. In this case report, we describe the clinical presentation, operative and post-operative course of a 31-year old with a retroperitoneal dermoid cyst. The patient presented with buttock and leg pain/paresthesia found to have a retroperitoneal mass between the psoas muscle and L5/S1 disk space. We describe the operative approach, including intra-operative images, of the resection by a team of urologists and neurosurgeons. The histology is also presented. Finally, we discuss the benefits of use of intra-operative ultrasound and neuromonitoring.
皮样囊肿很少出现在腹膜后间隙或成年期。在本病例报告中，我们描述了一名31岁患有腹膜后皮样囊肿患者的临床表现、手术及术后过程。患者因臀部和腿部疼痛/感觉异常就诊，检查发现腰大肌和L5/S1椎间盘间隙之间有一个腹膜后肿块。我们描述了由一组泌尿外科医生和神经外科医生进行切除的手术方法，包括术中图像。还展示了组织学检查结果。最后，我们讨论了术中超声和神经监测的应用优势。
