Images in clinical medicine | Volume 38, Article 36, 14 Jan 2021 | 10.11604/pamj.2021.38.36.27680

Retroperitoneal dermoid cyst in a young boy

Saket Kumar, Venkat Rao Chidipotu

Corresponding author: Saket Kumar, Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Received: 01 Jan 2021 - Accepted: 11 Jan 2021 - Published: 14 Jan 2021

Domain: General surgery,Surgical oncology

Keywords: Retroperitoneal, dermoid cyst, teratoma

©Saket Kumar et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Saket Kumar et al. Retroperitoneal dermoid cyst in a young boy. Pan African Medical Journal. 2021;38:36. [doi: 10.11604/pamj.2021.38.36.27680]

Available online at: https://www.panafrican-med-journal.com/content/article/38/36/full

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Images in clinical medicine

Retroperitoneal dermoid cyst in a young boy

Retroperitoneal dermoid cyst in a young boy

Saket Kumar1,&, Venkat Rao Chidipotu1

 

1Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

 

 

&Corresponding author
Saket Kumar, Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

 

 

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A 12-year-old boy presented with history of pain in the right flank for last the 6 months. He had no associated urinary or bowel complains. Abdominal palpation revealed a non-tender lump was felt in the right lumbar region. Lump was firm with a well-defined margin and was not moving with the respiration. The blood investigations were within normal limits. An abdominal CT scan was obtained that showed a well-defined, heterogeneous mass in right suprarenal region measuring 11.5 x 11 cm. The lesion contained fat and soft tissue attenuation along with areas of calcification. The right kidney was displaced inferiorly and the right adrenal gland was not seen separately from the lesion. Based on the physical examination and radiological findings a provisional diagnosis of retroperitoneal dermiod cyst was made. Surgical resection of the retroperitoneal dermoid cyst was performed. The lesion was placed between the right hepatic lobe and the right kidney; however, the right adrenal gland could not be defined during the operation. The tumor was composed of mature tissues such as hair, bones, and teeth along with turbid yellowish fluid and pultaceous material. Histopathology was consistent with the diagnosis of a mature cystic teratoma without malignant components. Patient recovered uneventfully and was discharged on post-operative day 5.

 

 

Figure 1: the CT scan: A) coronal; B) axial view showing a large solid-cystic lesion in the right hepatorenal fossa with areas of calcifications and foci of fat; C) resected specimen showing mature tissues such as bone, teeth and hair; D) turbid yellowish fluid aspirated from the cyst

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Retroperitoneal dermoid cyst in a young boy

Images in clinical medicine

Retroperitoneal dermoid cyst in a young boy

Images in clinical medicine

Retroperitoneal dermoid cyst in a young boy

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Key words

Retroperitoneal

Dermoid cyst

Teratoma

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