Laparoscopic Resection of Para-Aortic Mass at the Aortic Bifurcation: An Atypical Presentation of a Tailgut Cyst.
| Autor: | Wang A; Surgery, University of Massachusetts Chan Medical School, Worcester, USA., Guart JA; General Surgery, University of Massachusetts Chan Medical School, Worcester, USA., Li D; General Surgery, University of Massachusetts Chan Medical School, Worcester, USA., Taros T; General Surgery, University of Massachusetts Chan Medical School, Worcester, USA., Cui H; General Surgery, University of Massachusetts Chan Medical School, Worcester, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jun 14; Vol. 16 (6), pp. e62391. Date of Electronic Publication: 2024 Jun 14 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.62391 |
| Abstrakt: | We review the case of a 43-year-old white male who presented with an enlarging pulsatile mass in the periumbilical region. Diagnostic imaging revealed an 8-cm heterogeneous mass abutting the left iliac artery at the aortic bifurcation. Due to the patient's persistently elevated blood pressure and elevated serum and urine catecholamines, a neuroendocrine tumor was suspected. Laparoscopic resection was performed and was well tolerated. However, the mass was characterized as a tailgut cyst upon pathological examination. This case highlights the utility of laparoscopy for the removal of large para-aortic masses, which can be achieved in a safe fashion by an experienced surgeon. In addition, this case highlights the importance of differential diagnoses in surgeries due to the occurrence of unexpected outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Wang et al.) |
| Databáze: | MEDLINE |
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