Retroperitoneal Dermoid Cyst in a 55 Year Old Female: A Case Report

Sarojini Pramod Jadhav*, Harsh Rajeev Mehta, Sriranjani Iyer and Mohammed Ansari

Department of General Surgery, Government Medical College, India

^*Correspondance to: Sarojini Pramod Jadhav 

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Abstract:

Introduction: Mesenteric and retroperitoneal cysts are usually rare asymptomatic lesions. Three
retroperitoneal cysts are mostly asymptomatic but may present with unspecific symptoms depending
on the size, location and complications such as hemorrhage, infection, or rupture.
Case Presentation: A 55 year old lady presented with complaints of non-obstructed umbilical
hernia. CT scan of abdomen and pelvis was done suggestive of a large cystic non-enhancing thin
walled lesion of size 27 cm × 15 cm in right lumbar region intraoperatively, there was evidence of
a large thin walled mesenteric cyst arising from retroperitoneum of size 25 cm × 15 cm, extending
vertically from right iliac fossa up to right hypochondrium and xiphisternum extending up to right
iliac quadrant. Cyst wall was incised and opened. There was evidence of abundant grayish white
sticky pultaceous material. Cyst was completely evacuated and excised. Microscopic examinationcyst
wall lined by stratified squamous epithelium with underneath hair follicles and sebaceous
glands present. On the basis of gross and microscopic examination, a confirmatory diagnosis of
dermoid cyst was made.
Discussion: Retroperitoneum is a rare site for dermoid cyst. Retroperitoneal cysts which develop
within the retroperitoneal space are rare intra-abdominal tumors with an incidence of 1 per 1,40,000.
The incidence of recurrence for retroperitoneal cysts is higher than with other forms of cysts because
their proximity to major blood vessels and other organs makes them difficult to completely excise.
Conclusion: surgical resection is indicated to establish a diagnosis and prevent eventual
complications. Complete excision of tumor is necessary due to the

Keywords:

Dermoid; Teratoma; Retroperitoneal

Cite the Article:

Jadhav SP, Mehta HR, Iyer S, Ansari M. Retroperitoneal Dermoid Cyst in a 55 Year Old Female: A Case Report. World J Surg Surgical Res. 2020; 3: 1189..