Wednesday, 16 August 2017

CASE 447: RETROPERITONEUM CYST, Dr PHAN THANH HẢI, Dr PHẠM THỊ THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Man 20 yo with abdomen distention at  right subcostal region,  no pain  no fever.
Ultrasound of abdomen detected  one big mass in retroperitoneum, multiseptation and  multiloculated in connection with troubled fluid inside.
US 1=  longitudinal scan  over right kidney.
US 2 = crossed sectionnal scan over aorta.
US 3 = longitudinal  scan over spine.
US 4 = longitudinal  scan at  pelvis.





MSCT of  abdomen with CE:





CT 1 = sagital scan of  cystic mass  retroperitoneum.
CT 2 = frontal scan  of this mass  is cystic homogeneous.
CT 3 = frontal view of  this mass  and  gastrointestinal mass arround.
CT 4 =  aorta  no deplacement.       


Normal blood test and  all biocancer markers.

Open operation laparotomy  surgeon detected this cystic tumor in retroperitoneum , thin wall and  old blood  inside.
 Removed  this mass.



Microscopic result is benign 
 cavernous hemangioma.





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