Incidental discovery of a massive primary retroperitoneal serous cystadenoma following trauma.

BMJ Case RepOct 5, 2026 (epub)

Mikaela Mandato, David Cruise, Jayani Jayasekara et al.

✦ AI-curated · Sources linked

Case in brief

A woman in her 70s presented with severe abdominal pain after a fall. Imaging revealed a massive cystic lesion in the left retroperitoneum, which was confirmed to be a ruptured cyst. Surgical intervention involved laparotomy, extensive adhesiolysis, and excision of a multiloculated cyst containing about 6500 mL of fluid. Histopathology confirmed a benign serous cystadenoma.

Diagnostic / clinical pearl

Primary retroperitoneal serous cystadenomas can present with diagnostic challenges; definitive diagnosis relies on surgical excision and histopathological evaluation.

Source

Published in BMJ Case Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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