Spontaneous Regression Of A Cystic Retroperitoneal Tumour In Young Women Postpartum. Report Of Two Cases.
de Zeeuw, S., Schouten van der Velden, A. P., Eggink, A. J., Strijk, S., & Wobbes, T. (2011). spontaneous regression of a cystic retroperitoneal tumour in young women postpartum. report of two cases. Clinical imaging, 35(3), 232–235. https://doi.org/10.1016/j.clinimag.2010.07.001
View Original Source →Abstract
Retroperitoneal cystic tumours are rarely found, and of these, the most common lesion is a cystic lymphangioma. We present two postpartum patients with a cystic retroperitoneal tumour which showed spontaneous regression and a review of the literature.
Case Details
Disease Location
Intra-abdominal
Personal Characteristics
29-year-old female, 13 days postpartum
Clinical Characteristics
She complained of worsening abdominal pain without other gastrointestinal symptoms. She had a temperature of 38.4°c, at gynecological examination, a yellow, non-smelling vaginal secretion was seen with some pus arising from the cervical ostium. Cultures showed no bacterial growth. At digital vaginal examination, both the uterus and the rectouterine pouch were painful. Laboratory data showed a slightly increased crp, an increased ca 125 and 19-9. Ultrasonography revealed a multicystic process of 5.9×4.5 cm in the rectouterine pouch, which probably arose from the right ovarium. Before laparoscopy she underwent curettage. The material obtained showed a nonspecific acute inflammatory process at histopathological examination. At laparoscopy, a normal-appearing uterus, ovaries, and appendix were seen. A retroperitoneal process was found in the left iliac fossa near the sigmoid colon. This tumour was attached to neither the vagina nor the sigmoid colon.the radiologist suggested an extra-ovarial ovarian tumour, a pseudocyst, an echinococcus cyst, or a lymphangioma.
Remission Characteristics
After 8 weeks an MRI was performed. Surprisingly, the cyst was not seen anymore (fig. 5). The patient had no abdominal complaints and both the ca 125 and ca 19.9 levels were normalised
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Laparoscopy