Shadrack Mathayo, Salewi Anande, Poppe Vanessa, Amsi Patrick, Sadiq Adnan, Chilonga Kondo
Kilimanjaro Christian Medical Centre (KCMC), Box 3010, Moshi, Tanzania; Kilimanjaro Medical University College (KCMUCo), Box 2240, Moshi, Tanzania; Department of General Surgery, Kilimanjaro Christian Medical Center, Box 3010, Moshi, Kilimanjaro, Tanzania.
Kilimanjaro Christian Medical Centre (KCMC), Box 3010, Moshi, Tanzania; Kilimanjaro Medical University College (KCMUCo), Box 2240, Moshi, Tanzania; Department of General Surgery, Kilimanjaro Christian Medical Center, Box 3010, Moshi, Kilimanjaro, Tanzania.
Int J Surg Case Rep. 2025 Apr;129:111102. doi: 10.1016/j.ijscr.2025.111102. Epub 2025 Mar 2.
Retroperitoneal cysts are rare, accounting for less than 1% of retroperitoneal tumors. Idiopathic giant unilocular retroperitoneal cysts are even more uncommon, with very few reported cases. Their diagnosis and management are particularly challenging in resource-limited settings due to restricted access to advanced imaging and surgical techniques.
A 38-year-old female presented with progressive abdominal distension. Imaging revealed a giant retroperitoneal cyst. Due to limited resources, an open laparotomy was performed, and a 33 cm cyst containing 8 l of clear fluid was completely excised. Histopathology confirmed a giant idiopathic retroperitoneal cyst.
This case is unique due to the cyst's idiopathic nature, massive size, and successful surgical management despite resource constraints. Complete surgical excision remains the definitive management to prevent recurrence and complications.
This case highlights the importance of surgical intervention in managing giant retroperitoneal cysts in resource-constrained settings, ensuring favorable outcomes despite diagnostic limitations.
腹膜后囊肿较为罕见，占腹膜后肿瘤的比例不到1%。特发性巨大单房腹膜后囊肿更为少见，报道的病例极少。由于在资源有限的环境中难以获得先进的影像学检查和手术技术，其诊断和治疗极具挑战性。
一名38岁女性因进行性腹胀就诊。影像学检查发现一个巨大的腹膜后囊肿。由于资源有限，实施了开放剖腹手术，完整切除了一个33厘米的囊肿，囊内含有8升清澈液体。组织病理学证实为特发性巨大腹膜后囊肿。
该病例具有独特性，因其囊肿的特发性、巨大尺寸以及尽管资源有限仍成功进行了手术治疗。完整的手术切除仍然是预防复发和并发症的决定性治疗方法。
该病例凸显了在资源有限的环境中，手术干预对于治疗巨大腹膜后囊肿的重要性，尽管存在诊断限制，但仍能确保良好的治疗效果。
