Incidental discovery of a massive primary retroperitoneal serous cystadenoma following trauma.
Mikaela Mandato, David Cruise, Jayani Jayasekara et al.
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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.