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

Year 2012, Volume: 7 Issue: 2, 43 - 45, 01.05.2012

Ertuğrul Şefik Sacit Nuri Görgel Burak Özçift Ayşegül Aksoy Altınboğa Cengiz Girgin Çetin Dinçel

Abstract

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

Keywords

Mezotelyal , kist , retroperiton

Primary retroperitoneal mesothelial cyst mimicking giant hydronephrosis: A case report

Abstract

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

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