Ibrahim Maimuna, Chibwae Alfred, Magoda Benard, Philipo Ayubu, Ramadhan Shafii, Salim Mohamed
Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, PO Box 65001, Dar es Salaam, Tanzania.
Department of Surgery, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.
J Surg Case Rep. 2024 Aug 30;2024(8):rjae552. doi: 10.1093/jscr/rjae552. eCollection 2024 Aug.
In most reported cases, pancreatic pseudocysts are the most commonly reported cases and mostly occur in adults. Idiopathic non-pancreatic pseudocyst is rarely reported among children. We are reporting a rare case of retroperitoneal pseudocyst in a 6-year-old male with a 4-week history of abdominal swelling. He had asymmetrical abdominal distention on the right lumber and iliac regions with a smooth surface measuring 12 × 22 cm in its largest dimension. CT scan showed a mesenteric cyst, ipsilateral hydronephrosis, and intrahepatic duct dilatations. Intraoperatively, a retroperitoneal cystic mass was completely excised histologically confirmed pseudocyst. The patient was discharged home after fully recovery after 4 days of surgery. Surgical interventions remain to be the stay management of retroperitoneal pseudocysts with an earlier full recovery. Open surgical technique remains to be a preferred approach, especially for the large and complex retroperitoneal cysts.
在大多数报告的病例中，胰腺假性囊肿是最常报告的病例，且大多发生于成年人。特发性非胰腺假性囊肿在儿童中很少有报告。我们报告一例罕见的6岁男性腹膜后假性囊肿病例，该患儿有4周腹部肿胀病史。他右侧腰部和髂区有不对称性腹部膨隆，表面光滑，最大径为12×22厘米。CT扫描显示肠系膜囊肿、同侧肾积水和肝内胆管扩张。术中，一个腹膜后囊性肿物被完整切除，组织学证实为假性囊肿。术后4天完全康复后，患者出院回家。手术干预仍然是腹膜后假性囊肿的主要治疗手段，可使患者更早完全康复。开放手术技术仍然是首选方法，尤其是对于大的和复杂的腹膜后囊肿。
