CC BY 4.0 · Surg J (N Y) 2017; 03(01): e32-e37
DOI: 10.1055/s-0037-1599820
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

A Giant Primary Retroperitoneal Serous Cystadenoma: Case Report and Review of Retroperitoneal Cysts

Amit Mori
1   Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
,
Kinesh Changela
1   Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
,
Dhuha Alhankawi
2   Division of Internal Medicine, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
,
Alexander Itskovich
3   Division of Surgery, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
,
Ahmar Butt
2   Division of Internal Medicine, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
,
Madhavi Reddy
1   Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of Mount Sinai Hospital, Brooklyn, New York
› Author Affiliations
Further Information

Publication History

19 July 2016

30 January 2017

Publication Date:
16 March 2017 (online)

Abstract

Primary retroperitoneal serous cystadenomas (PRSCs) are rare cystic lesions whose pathogenesis is currently not well understood. Although the vast majority of tumors are benign, early recognition and resection is necessary to avoid malignant transformation, rupture, and secondary infection. Here we present the case of a 79-year-old woman who presented with confusion, visual hallucinations, and a history of fall. As part of the work-up for abdominal distension, computed tomography scan of the abdomen and pelvis was performed, which revealed a right-sided retroperitoneal cystic lesion measuring 26.6 × 16.7 cm in size. The lesion was resected laparoscopically, and the surgical specimen measured 28 × 17 cm. Histology revealed a serous cystadenoma. The postsurgical course was uneventful, and no radiological recurrence was noted on 3 months follow-up. Very few primary retroperitoneal cystic lesions have been reported in the literature. Most lesions are benign and predominantly occur in females. They may remain asymptomatic for long periods of time and are usually discovered when they reach very large in size. In rare cases, these lesions may have malignant potential. Diagnosis of PRSC should be considered in the differential diagnosis of all retroperitoneal cysts.

Author Contribution

Amit Mori contributed in concept and design, acquisition of available literature, drafting of the review article and approval of the scientific paper to be published. Kinesh Changela contributed in literature search, drafting and review of the manuscript, and approval of the version to be published. Dhuha Alhankawi contributed in data collection and interpretation, acquisition of available literature, and review of the manuscript. Alexander Itskovich contributed in performing surgical procedure, data collection and interpretation, and drafting and review of the manuscript. Ahmar Butt and Madhavi Reddy contributed in critical revision of the manuscript for important intellectual content