Ertuğrul ŞEFİK, Sacit Nuri GÖRGEL, Burak ÖZÇİFT, Ayşegül ALTINBOĞA AKSOY, Cengiz GİRGİN, Çetin DİNÇEL

Dev hidronefrozu taklit eden primer retroperitoneal mezotelyal kist: Bir olgu sunumu

Mezotelyal orjinli retroperitoneal kistler çok nadir rastlanılan kistlerdir. Retroperitoneal kistlerin kesin tanı ve tedavisinde standart yöntem cerrahidir. İlk tanı anında diğer retroperitoneal kitlelerden ayırımı oldukça zordur. On yaşında kız çocuğu sol hidronefrotik nonfonksiyone böbrek öntanısıyla opere edildi. Makroskopik incelemede 25 cm lik kistin kenarında yaklaşık 2 cm lik hipoplazik böbrek dokusu olduğu görüldü .Histopatolojik incelemede kistin duvarının tek sıra kübik epitelle döşeli olduğu ve immünohistokimyasal olarak sitokeratin 7 + , WT-1 + , kalretinin + saptandı ve mezotelyal kist tanısı kondu. İki cm lik böbrek dokusu ise hipoplazik böbrek ile uyumlu olarak değerlendirildi. Bu yazımızda literatürde çok az sayıda bulunan primer retroperitoneal mezotelyal kist olgusunu sunduk

Anahtar Kelimeler:

Mezotelyal, kist, retroperiton

Primary retroperitoneal mesothelial cyst mimicking giant hydronephrosis: A case report

The retroperitoneal cysts which have mesothelial origin are very rare. Surgery is the standard method for definitive diagnosis and treatment of retroperitoneal cysts At the time of diagnosis it is difficult to seperate from other retroperitoneal masses. Ten-year-old girl was operated with the diagnosis of left nonfunctional hydronephrotic kidney. In macroscopic examination at the edge of the cyst about 2 cm of tissue was hypoplastic kidney. In histopathological examination, cyst wall was paved with a single row of cubical epithelium and immunohistochemically cytoceratin 7 + , WT-1 + , calretinin + was detected and the cyst was diagnosed as mesothelial cyst. Two centimeters kidney tissue was assessed in accordance with hypoplasic kidney.Here we present a case of primary retroperitoneal mesothelial cyst, which is very rare in the literature

Keywords:

Mesothelial, cyst, retroperitoneum,

PDF

___

Handfield-Jones RM. Retroperitoneal cysts: their patho- logy, diagnosis, and treatment. Br J Surg. 1924; 12:119–134
Procter CD, Bivins BA, Griffen WO, et al: Primary retro- peritoneal cysts: Report of an unusual case and a survey of the literature. Arch Surg. 1982; 117:1089-1093
Iguchi Y, Toma H, Okumura T, Takahama M. Retroperito- neal malignant mesothelioma: a case report. Nippon Hin- yokika Gakkai Zasshi. 1996; 87:1261–1265
Ousadden A, Elbouhaddouti H, Ibnmajdoub KH, Harmo- uch T, Mazaz K, Aittaleb K. A giant peritoneal simple me- sothelial cyst: a case report. J Med Case Reports. 2011; Aug 10;5:361.
Okur H, Kucukaydın M, Ozokutan BH, et al: Mesenteric, omental, retroperitoneal cysts in children Eur J Surg. 1997; 163: 673-677
Zeiler M, Santarelli S, Cangiotti AM, Agostinelli RM, Monteburini T, Marinelli R et al. Giant mesenteric cyst of mesothelial origin in a haemodialysis patient with previ- ous peritoneal dialysis therapy. Nephrol Dial Transplant. 2010; 25(3):1004-6.
Erdemoğlu E, Aydoğdu T, Tokyol Ç: Primary retroperito- neal mucinous cystadenoma. Acta Obstet Gynecol Scand 2003; 82:486-487
Vincent C. Smith, Robert A. Edwards, Jeffrey L. Jorgensen, Richard A. Goldfarb, Dov Kadmon, Philip Cagle et al. Uni- locular Retroperitoneal Cyst of Mesothelial Origin Presen- ting as a Renal Mass: A Report of 2 Cases Arch Pathol Lab Med 2000; 124:766-769
Muzaffer Eroğlu, Fahri Yılmaz, Atilla Semerciöz, Ahmet Metin [Mesothelial cyst of retroperitoneum] Türk Ürolo- ji Dergisi 2007; 33 (2):232-234
Motoyama T, Chida T,Fujiwara T, Watanabe H. Mucinous cystic tumor of the retroperitoneum. A report of two cases. Acta Cytol 1994; 38:261-266
Ishikawa K, Hirashita T, Araki K, Kitano M, Matsuo S, Matsumata T. A case of retroperitoneal mucinous cysta- denoma treated successfully by laparoscopic excision. Surg Laparosc Endosc Percutan Tech. 2008; Oct;18(5):516-9