Retroperitoneal Chyloma: A Case Report and Literature Review.
| Autor: | Alabdulaaly NI; General Surgery, Prince Sultan Military Medical City, Riyadh, SAU., AlAkeel AA; General Surgery, Prince Sultan Military Medical City, Riyadh, SAU., Alfriedy RF; General Surgery, Prince Sultan Military Medical City, Riyadh, SAU., Alajmi RM; Emergency Medicine, King Fahad University Hospital, Khobar, SAU., AlHarbi AH; General Surgery, Prince Sultan Military Medical City, Riyadh, SAU., AlJabali M; General Surgery, Prince Sultan Military Medical City, Riyadh, SAU., Idrees BA; General Surgery, Prince Sultan Military Medical City, Riyadh , SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Feb 26; Vol. 16 (2), pp. e54924. Date of Electronic Publication: 2024 Feb 26 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.54924 |
| Abstrakt: | Retroperitoneal chyloma is a rare entity that presents with non-specific symptoms. Although benign, it can cause complications due to the mass effect. In this case report, we present the case of a 24-year-old woman who presented with a complaint of left-sided colicky abdominal pain and mild dysuria for one year. On physical examination, there was only mild abdominal tenderness. Computed tomography (CT) revealed a thick-walled cystic retroperitoneal mass with a small amount of fat in the superior part and a displaced left hydronephrotic kidney. Magnetic resonance imaging (MRI) confirmed the findings and also revealed a fat-fluid level in the cyst. A laparotomy was performed, and the cystic mass, containing milky fluid, was excised. Histopathology showed a pseudocyst with chronic inflammation and a xanthomatous reaction, with no evidence of infection or malignancy. The patient recovered without complications and has not had a recurrence so far. Retroperitoneal chyloma is difficult to diagnose preoperatively. A definitive diagnosis is usually made only after surgery and a histopathological examination. The treatment of choice is a complete excision. Other approaches, such as marsupialization or drainage, will likely result in a recurrence. However, surgery in the retroperitoneal space is associated with a risk of injury to major vessels or organs. In conclusion, retroperitoneal chyloma is a rare entity that is best treated by complete excision. For small lesions, a wait-and-watch approach may be advisable. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Alabdulaaly et al.) |
| Databáze: | MEDLINE |
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