PDF(Pubmed)
Abstract：
Retroperitoneal cysts, a rare surgical phenomenon, present diagnostic challenges due to their typically asymptomatic nature. A 62-year-old male presented with a 4-month history of abdominal distension and increased burping. Upon clinical examination, a soft, distended, nontender abdomen with a palpable mass extending from the epigastric region to 3 cm below the umbilicus was revealed. Imaging revealed a 14.6 cm × 15.8 cm × 16.4 cm nonenhancing retroperitoneal lesion, compressing the right ureter and causing mild right hydronephrosis. Multiple gall bladder calculi, an umbilical hernia, and lipomatous lesions associated with adrenal glands were also discovered. Laparoscopic retroperitoneal cystectomy, cholecystectomy, and umbilical hernia repair were performed. Intraoperatively, 150 ml ascitic fluid and 1200 ml cystic fluid were found. This case highlights the intricate clinical presentation of a retroperitoneal cyst, emphasizing the need for surgical exploration. Successful laparoscopic management contributes to the evolving understanding of optimal treatment strategies.
摘要：
腹膜后囊肿,一种罕见的手术现象,由于其典型的无症状性质，目前的诊断挑战。一名62岁的男性，有4个月的腹胀史和打嗝增加。经临床检查,一个柔软的，扩张，显示出无触痛的腹部，可触及的肿块从上腹部区域延伸至脐带以下3厘米。影像学显示腹膜后无强化病变14.6cm×15.8cm×16.4cm，压迫右输尿管导致轻度右肾积水.多发性胆囊结石,脐疝,与肾上腺相关的脂肪瘤性病变也被发现。腹腔镜腹膜后膀胱切除术,胆囊切除术,并进行脐疝修补术。术中,发现150毫升腹水和1200毫升囊液。这个病例突出了腹膜后囊肿的复杂临床表现，强调手术探查的必要性。成功的腹腔镜治疗有助于不断发展对最佳治疗策略的理解。
