1/7. Multilocular peritoneal inclusion cyst with extensive xanthogranulomatous stromal changes: a differential diagnosis of cystic pelvic tumors in women.This report presents an unusual case of multilocular peritoneal inclusion cyst with extensive xanthogranulomatous changes in the cyst stroma occurring in a 21-year-old woman. The multicystic tumor was found attached to the mesentery of the terminal ileum. Microscopically, the cystic spaces were lined by flattened to cuboidal cells, which displayed immunoreactivity for cytokeratin but not for factor viii-related antigen. Large stromal areas contained cholesterol clefts, multinucleated foreign body giant cells, and accumulations of foam cells. The pathogenesis of this multilocular peritoneal inclusion cyst remains obscure. The patient is disease-free 10 years after surgery. The most important differential diagnosis to this case is mature cystic teratoma of the ovary with xanthogranulomatous changes.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/7. Laparoscopic resection of giant mesenteric cyst.Benign cystic tumors are rare intra-abdominal lesions that may be retroperitoneal, mesenteric, or omental. Most of them cause nonspecific symptoms, but rarely, they cause serious complications such as volvulus, rupture, or bowel obstruction. The diagnosis of these tumors can be made by abdominal ultrasonography or CT. Their only treatment is surgical excision, which can be done by either laparotomy or laparoscopic surgery. In last decade, laparoscopic surgical approaches have replaced open procedures in many surgical abdominal diseases. In this paper, a patient with laparoscopically excised mesenteric cyst is presented along with a literature review.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
3/7. Giant chylolymphatic cyst of the jejunal mesentry in a child: report of a case.A giant chylolymphatic cyst from the jejunal mesentery in a 4-year-old boy is herein described. The child presented with an acute intestinal obstruction and the etiology of the obstruction was only discovered at surgery, even though preoperative abdominal sonography had hinted at the presence of a mesenteric lesion. An excision of the cyst, along with part of the involved bowel, was performed and was curative. The literature regarding the origin, presentation, complications, and particularly, the diagnosis of this rare lesion is also reviewed.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/7. lipoma of the omentum in a child.A solitary giant lipoma of the omentum and gastrocolic ligament in an 8-year-old boy is reported. The patient had a large abdominal mass and signs of partial intestinal obstruction. Radiographs showed the characteristic radiolucency of a fatty mass, excluding a mesenteric cyst.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/7. Laparoscopic resection of a giant mesenteric cyst.Laparoscopic resection of a giant retroperitoneal, mesenteric cyst in a 38-year-old man who presented with abdominal distension and pedal edema is described. The diagnosis was made by abdominal computed tomography, which revealed a large cystic mass that was causing extrinsic compression of the inferior vena cava and the right ureter. The hospital course was uneventful, and the patient was discharged 2 days postoperatively. This new endoscopic approach offers a useful alternative to the traditional transabdominal excision of a mesenteric cyst and may have some theoretical advantages, including less postoperative pain and shorter convalescence.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
6/7. Laparoscopic resection of a giant omental cyst.Omental and mesenteric cysts are uncommon, requiring surgical intervention when symptomatic. A report of a giant primary omental cyst successfully treated utilizing minimal-access surgical techniques is presented. The laparoscopic approach allowed complete, intact excision of the cyst, while decreasing operative morbidity and hospital stay.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
7/7. Giant megalo-ureter and duplex kidney in an asymptomatic adult.An abdominal mass was palpated in an asymptomatic adult during a routine medical check-up. ultrasonography and computed tomography scan diagnosed a simple renal cyst, a mesenteric cyst and a seminal vesicle cyst. At laparotomy a complete ureteral duplication and a giant ectopic megalo-ureter were diagnosed. Other complications were ruled out in the follow-up. Ureterectomy without heminephrectomy was performed and the patient remains asymptomatic 5 years after surgery.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |