Idiopathic giant unilocular retroperitoneal cyst in a 38-years-old female: Diagnostic and management challenge in resource-limited health facility-A rare case report.

BACKGROUND

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.

CASE PRESENTATION

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.

DISCUSSION

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.

CONCLUSION

This case highlights the importance of surgical intervention in managing giant retroperitoneal cysts in resource-constrained settings, ensuring favorable outcomes despite diagnostic limitations.