scholarly journals A Giant Lymphatic Cyst of the Adrenal Gland: Report of a Rare Case and Review of the Literature

2015 ◽  
Vol 100 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Makoto Furihata ◽  
Yuuki Iida ◽  
Tadashi Furihata ◽  
Eisaku Ito
Keyword(s):  
Adrenal Gland ◽  
Cystic Lesion ◽  
Single Layer ◽  
Japanese Woman ◽  
Abdominal Ultrasonography ◽  
Hormonal Function ◽  
Abdominal Symptoms ◽  
Lymphatic Cyst ◽  
True Cyst ◽  
Endothelial Cyst

Abstract Lymphatic type of adrenal cysts is most common; however, this type of endothelial cyst is quite rare in excessively large adrenal cysts. A 37-year-old Japanese woman was admitted to our institution with distension of her left flank and the upper quadrant of her abdomen. Abdominal ultrasonography revealed a cystic lesion with a homogenous anechoic texture, and measuring 21 cm in diameter. Computed tomography and magnetic resonance imaging displayed a giant cystic lesion adjacent to the liver, pancreas, kidney, and spleen. The origin of the cyst was not identified. We were not able to make a preoperative diagnosis; therefore, the patient underwent resection of the mass by open laparotomy for therapeutic diagnosis. Intraoperatively, the mass was identified to be cystic and adhered to the left adrenal gland. It was filled with more than 2000 mL of serous brown-red fluid. The content of the cyst contained no atypical cells on cytological examination. The wall of the cyst was composed of a lining of a single layer of lymphatic vessel–derived cells, and the cyst was pathologically classified as a true cyst. No abdominal symptoms were observed and a postoperative radiological work-up showed no evidence of recurrence during a 6-year follow-up period. We describe a case of a patient with a giant lymphatic cyst of the adrenal gland. The preset data suggest that surgeons should decide treatment strategy for large adrenal cysts in consideration of hormonal function, degree of size, and possibility of malignancy.

scholarly journals Laparoscopic Excision of A Rare Retroperitoneal Non-Pancreatic Pseudocyst

2014 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Sardar Rezaul Islam ◽  
Shafiqur Rahman ◽  
Kamal Pasha ◽  
ASM Sayem
Keyword(s):  
Cystic Lesion ◽  
Pancreatic Pseudocyst ◽  
Left Kidney ◽  
Cystic Mass ◽  
Epithelial Lining ◽  
Lower Pole ◽  
Abdominal Ultrasonography ◽  
Laparoscopic Excision ◽  
History Of ◽  
Upper Abdomen

Retroperitoneal cysts (RCs) are rare. They are composed of both epithelial and mesothelial tissues, and those without an epithelial lining in the wall are called pseudocysts. Most retroperitoneal pseudocysts are pancreatic in origin, and nonpancreatic pseudocysts are very rarely reported.We report a case of large cystic lesion adjacent to the left kidney in a 25 years old man. He presented with 2 and half years history of gradual swelling of left upper abdomen. Abdominal ultrasonography and CT scan showed a large unilocular cystic mass in left side of the abdomen, which was attached with the lower pole of the left kidney. The cystic mass was excised laparoscopically. Histology showed a fibrous wall without epithelial lining thus confirming the diagnosis of a nonpancreatic pseudocyst.

Rare case of a patient with symptomatic Meckel’s diverticulum enteroliths

2021 ◽  
Vol 14 (2) ◽  
pp. e240815
Author(s):  
Rory Callan ◽  
Nazrin Assaf ◽  
Muhammad Imtiaz Shaikh ◽  
Dipankar Chattopadhyay
Keyword(s):  
Dermoid Cyst ◽  
Rare Case ◽  
Cystic Lesion ◽  
Groin Pain ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Diagnosis And Treatment ◽  
Left Groin ◽  
Bowel Habits ◽  
Abdominal Symptoms

A 61-year-old man presented with non-specific abdominal symptoms, including left groin pain and change in bowel habits. Investigations revealed a cystic lesion, containing numerous irregular calcifications, with the primary differential being a dermoid cyst containing teeth-like calcifications. At laparoscopy it was found to be a Meckel’s diverticulum, containing a large number of enteroliths. This case revealed the importance of considering enteroliths in patients with imaging showing intra-abdominal calcifications, and laparoscopy for diagnosis and treatment.

Splenic Lymphangioma: A Rare Tumour of Spleen in Adults

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 122-124
Author(s):  
Nisar A Chowdri ◽  
Syed Muzamil Andrabi ◽  
Javaid Ahmad Bhat ◽  
Mubashir Ahmad Shah
Keyword(s):  
Cystic Lesion ◽  
Paediatric Population ◽  
Abdominal Discomfort ◽  
Surgical Removal ◽  
Rare Tumour ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
History Of ◽  
History Of Pain ◽  
Loss Of Appetite

Splenic Lymphangioma is a rare, benign, cystic lesion arising from malformations of splenic lymphatic channels. They are usually found in paediatric population and rarely in adults. Isolated lesions are asymptomatic and detected incidentally. However larger lesions present with abdominal discomfort, loss of appetite or a palpable mass. Surgical removal of spleen remains the treatment of choice. A 25-year-old, unmarried female presented 2 months history of pain epigastrium. Abdominal ultrasonography revealed a well defined hypoechoic area in relation to the lower pole of spleen with normal splenic and portal vein. Computed tomography with contrast enhancement showed mild splenomegaly with multiple hypodense lesions with peripherally enhancing rim and decreased central attenuation with likely possibility of angiosarcoma of spleen. JMS 2018: 21 (2):122-124

MESOTHELIAL DIAPHRAGMATIC CYST

2014 ◽  
Vol 21 (1) ◽  
pp. 91-92
Author(s):  
Justina Vaičiulėnaitė ◽  
Kęstutis Trainavičius
Keyword(s):  
Cystic Lesion ◽  
Close Relation ◽  
Hepatic Cyst ◽  
Pathological Examination ◽  
Anatomical Location ◽  
Visual Examination ◽  
Abdominal Ultrasonography ◽  
Mesothelial Cyst ◽  
Right Lobe ◽  
Rare Diagnosis

Primary diaphragmatic cyst – is a very rare diagnosis with complicated determination due to its specific anatomical location and close relation to other organs[1, 3]. However, diaphragmatic cysts are commonly discovered accidentally while performing visual examination because of totally other reasons [4]. 7-year-old male patient presented with abdominal pain and abdominal ultrasonography was performed. There was accidentally found a hepatic cyst of 39 × 30 mm size in right lobe of the liver. Operation was planned because of the cystic lesion enlargement. During the operation diaphragmatic cyst was found. Pathological examination revealed that this lesion is a mesothelial cyst of peritoneum.

Epithelial-lined (true) cyst of the adrenal gland: A case report

1989 ◽  
Vol 20 (5) ◽  
pp. 491-492 ◽  
Author(s):  
L. Jeffrey Medeiros ◽  
Lawrence M. Weiss ◽  
Austin L. Vickery
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
True Cyst

Angiosarcoma Arising Within a Long-Standing Cystic Lesion of the Adrenal Gland: A Case Report

2013 ◽  
Vol 31 (9) ◽  
pp. e132-e136 ◽  
Author(s):  
Ji-Youn Sung ◽  
Soomin Ahn ◽  
Sung Joo Kim ◽  
Young Soo Park ◽  
Yoon-La Choi
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Cystic Lesion

scholarly journals Gallbladder Ciliated Foregut Cyst Suspected of Malignancy Preoperatively

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Chikanori Tsutsumi ◽  
Toshiya Abe ◽  
Hirotaka Kuga ◽  
So Nakamura ◽  
Kazuyoshi Nishihara ◽  
...  
Keyword(s):  
High Frequency ◽  
Cystic Lesion ◽  
Pathological Diagnosis ◽  
Pathological Examination ◽  
Ciliated Epithelium ◽  
Close Inspection ◽  
Abdominal Ultrasonography ◽  
Case Presentation ◽  
Thin Walls ◽  
Foregut Cyst

Background. Gallbladder ciliated foregut cysts (CFCs) of the lower diaphragm are extremely rare. Furthermore, they are rarely suspected of malignancy preoperatively. Case Presentation. A 50-year-old woman was referred to our hospital for further examination and treatment of a gallbladder tumor that was detected using abdominal ultrasonography (US). After a close inspection, she was diagnosed with a gallbladder tumor that was possibly malignant. Accordingly, open whole layer cholecystectomy was performed because intraoperative US revealed a tumor located on the intraperitoneal side of the gallbladder, and a rapid intraoperative pathological diagnosis identified no malignancy. A postoperative pathological examination revealed a cystic lesion with thin walls covered with ciliated epithelium, which laid on a connective tissue with smooth muscle fibers. Based on the above results, the final pathological diagnosis was CFC of the gallbladder without malignancy. Conclusions. Cases of gallbladder CFC can be considered as cysts requiring treatment owing to CFCs’ potential for malignant transformation and high-frequency symptoms.

scholarly journals Fifteen-Year Follow-Up of a Patient with Acinar Cystic Transformation of the Pancreas and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Xiaoyun Wen ◽  
Jela Bandovic
Keyword(s):  
Abdominal Pain ◽  
Cystic Lesion ◽  
Pancreatic Head ◽  
Single Layer ◽  
Exploratory Laparotomy ◽  
Final Diagnosis ◽  
Cystic Neoplasm ◽  
Histologic Diagnosis ◽  
Ultrasound Surveillance

Acinar cystic transformation (ACT), also known as “acinar cell cystadenoma,” is a rare and newly recognized benign pancreatic cystic neoplasm. However, its true malignant potential remains unknown. Here, we report a case of ACT with 15-year follow-up. A 10-year-old female initially presented with abdominal pain and was found to have a cystic lesion in the region of pancreatic head on computed tomography scan. She underwent an exploratory laparotomy, and the intraoperative biopsy of the cyst wall showed a true pancreatic cyst without malignancy. Her symptoms subsequently resolved, and she was placed under close ultrasound surveillance. For the next fifteen years, the patient was asymptomatic without any complications and had a successful pregnancy. Surveillance showed the tumor grew in size from 4.2 cm to 6.2 cm in diameter. In the latest five months, she noted occasional abdominal pain. A pylorus-preserving pancreaticoduodenectomy was performed. The resected cystic lesion was multilocular and lined by a single layer of bland epithelium ranging from nondescript flat/cuboidal epithelium to apparent acinar cells which were strongly positive for trypsin, so the final diagnosis was confirmed to be ACT. The prior biopsy was retrospectively reviewed to reveal similar epithelial lining. To the best of our knowledge, this is the longest period of follow-up for ACT to date. Our findings suggest that ACT is a slow-growing neoplasm without malignant transformation after fifteen years. Therefore, we recommend biopsy for histologic diagnosis followed by close ultrasound surveillance without surgical intervention in asymptomatic or young ACT patients.

Hydrosalpinx in adolescent girls: What did two cases teach?

2021 ◽  
Author(s):  
Ahmet Hikmet Şahin
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girls ◽  
Cystic Lesion ◽  
Lower Abdominal Pain ◽  
Fallopian Tubes ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Abdominal Magnetic Resonance Imaging ◽  
First Case ◽  
Abdominal Exploration

Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.

Sign in / Sign up

Export Citation Format

Share Document