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A rare case of a giant pelvic retroperitoneal epidermoid cyst.

Fakhir B, Mamouni N, Bouramdane N, Bouchikhi C, Bouguern H, Chaara H, Melhouf M, Banani A - Libyan J Med (2009)

View Article: PubMed Central - PubMed

Affiliation: Gynécology and Obstétrics departement, University Hospital Hassan II Fez, Morocco.

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Epidermoid cyst is a frequent benign cutaneous tumor that could occur in any part of the human body... A seventy year old multiparus lady presented with progressive swelling in the abdomen... Clinical examination confirmed a large mass in the abdomin... A giant ovarian cyst was diagnosed... Median laparotomy was performed and a 30 cm retroperitoneal cyst was found... Epidermoid cyst is a frequent benign cutaneous tumor, usually present in patients with an age range of 19 to 45 years... In children it is associated with a Gardner syndrome in 50% of cases... Magnetic resonance imaging (MRI) is more specific, as it shows epidermoid cyst as hypointense area on T1-weighted imaging and hyperintense on T2 weighted imaging without enhancement at contrast injection... MRI could also help in confirming retroperitoneal localization; unfortunately it was not performed in our patient's case... Precaution should be taken to avoid spillage of the contents out... A successful laparoscopic excision of a retro-rectal epidermoid cyst was described... In conclusion, this report described a patient with a giant retroperitoneal pelvic epidermoid cyst which was successfully treated surgically... Although the pelvic epidermoid cysts are rare and difficult to diagnose pre-operatively, it should be considered in the differential diagnosis of ovarian tumors.

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Image of the cyst after excision, size > 30cm
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Figure 0002: Image of the cyst after excision, size > 30cm

Mentions: A seventy year old multiparus lady presented with progressive swelling in the abdomen. Clinical examination confirmed a large mass in the abdomin. The ultrasound showed a giant 35 cm abdomino-pelvic echogene mass, extending from the pubis symphysis to the epigastric region, displacing the liver, spleen and the urinary bladder. The computed tomography showed similar finding (figure 1). A giant ovarian cyst was diagnosed. Median laparotomy was performed and a 30 cm retroperitoneal cyst was found. Ovaries and uterus were normal. Uneventful cyst cleavage was performed after liberation of some intestinal and epiploic adherences (figure 2). The cyst contained sebaceous matter and histological examination shows that the cystic wall was lined with flattened squamous epithelia with a distinguished granular layer. The cystic space was filled with a large amount of keratinized material. The histology was compatible with an epidermoid cyst. The post operative course was uneventful and the patient was doing well at the 5 months follow-up visit.


A rare case of a giant pelvic retroperitoneal epidermoid cyst.

Fakhir B, Mamouni N, Bouramdane N, Bouchikhi C, Bouguern H, Chaara H, Melhouf M, Banani A - Libyan J Med (2009)

Image of the cyst after excision, size > 30cm
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3066717&req=5

Figure 0002: Image of the cyst after excision, size > 30cm
Mentions: A seventy year old multiparus lady presented with progressive swelling in the abdomen. Clinical examination confirmed a large mass in the abdomin. The ultrasound showed a giant 35 cm abdomino-pelvic echogene mass, extending from the pubis symphysis to the epigastric region, displacing the liver, spleen and the urinary bladder. The computed tomography showed similar finding (figure 1). A giant ovarian cyst was diagnosed. Median laparotomy was performed and a 30 cm retroperitoneal cyst was found. Ovaries and uterus were normal. Uneventful cyst cleavage was performed after liberation of some intestinal and epiploic adherences (figure 2). The cyst contained sebaceous matter and histological examination shows that the cystic wall was lined with flattened squamous epithelia with a distinguished granular layer. The cystic space was filled with a large amount of keratinized material. The histology was compatible with an epidermoid cyst. The post operative course was uneventful and the patient was doing well at the 5 months follow-up visit.

View Article: PubMed Central - PubMed

Affiliation: Gynécology and Obstétrics departement, University Hospital Hassan II Fez, Morocco.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Epidermoid cyst is a frequent benign cutaneous tumor that could occur in any part of the human body... A seventy year old multiparus lady presented with progressive swelling in the abdomen... Clinical examination confirmed a large mass in the abdomin... A giant ovarian cyst was diagnosed... Median laparotomy was performed and a 30 cm retroperitoneal cyst was found... Epidermoid cyst is a frequent benign cutaneous tumor, usually present in patients with an age range of 19 to 45 years... In children it is associated with a Gardner syndrome in 50% of cases... Magnetic resonance imaging (MRI) is more specific, as it shows epidermoid cyst as hypointense area on T1-weighted imaging and hyperintense on T2 weighted imaging without enhancement at contrast injection... MRI could also help in confirming retroperitoneal localization; unfortunately it was not performed in our patient's case... Precaution should be taken to avoid spillage of the contents out... A successful laparoscopic excision of a retro-rectal epidermoid cyst was described... In conclusion, this report described a patient with a giant retroperitoneal pelvic epidermoid cyst which was successfully treated surgically... Although the pelvic epidermoid cysts are rare and difficult to diagnose pre-operatively, it should be considered in the differential diagnosis of ovarian tumors.

No MeSH data available.


Related in: MedlinePlus