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Intra-retroperitoneal duplication cyst.

Juine-Yih Ma1, Yu-Cheng Lin, Sheng-Hong Tseng

  • 1Department of Pediatrics, Far Eastern Memorial Hospital, Taipei County 220, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|November 19, 2004
PubMed
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A rare intra-retroperitoneal duplication cyst was diagnosed in a 13-year-old girl presenting with abdominal pain. Surgical excision was successful, with the patient showing good recovery.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Duplication cysts are rare congenital anomalies.
  • Intra-retroperitoneal location is exceptionally uncommon.
  • Presentation in adolescents often involves abdominal symptoms.

Observation:

  • A 13-year-old female presented with abdominal pain, vomiting, and a palpable mass.
  • Imaging revealed two cystic masses with a communicating tract in the pelvic and retroperitoneal spaces.
  • Associated mild right hydropelvis was noted.

Findings:

  • Laparotomy confirmed a dumbbell-shaped intra-retroperitoneal duplication cyst.
  • The cyst had a small communicating tract.
  • Complete excision was achieved without complications to bowel or vasculature.

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Implications:

  • This case highlights the importance of considering rare diagnoses in pediatric abdominal masses.
  • Multimodality imaging is crucial for characterizing complex cystic lesions.
  • Successful surgical management of intra-retroperitoneal duplication cysts is feasible.