title: Laparoscopic excision of an infected "egg-shelled" retroperitoneal pseudocyst.
abstract: Primary retroperitoneal pseudocysts are rare entities. Though laparoscopic approach has been described in their treatment, open surgical excision is still the mainstay of treatment for these lesions. We present a case of infected retroperitoneal pseudocyst and its successful laparoscopic excision. The patient was an 80-year old female. Contrast enhanced CT scan of the abdomen and ultrasonography confirmed a large retroperitoneal cyst. Laparoscopic resection was accomplished after puncturing and decompressing the cyst. There were no complications or conversion. The operating time was 176 minutes. The patient was discharged 3 days after surgery. Histopathology revealed a pseudocyst. Retroperitoneal pseudocysts can be resected laparoscopically with careful and meticulous laparoscopic dissection, utilizing the advantages of laparoscopy.
authors.affiliation: GEM Hospital, Ramnathapuram, Coimbatore - 641045, India.
authors.forename: Chinnusamy
authors.initials: C
authors.lastname: Palanivelu
authors.forename: Muthukumaran
authors.initials: M
authors.lastname: Rangarajan
authors.forename: Rangaswamy
authors.initials: R
authors.lastname: Senthilkumar
authors.forename: Madhupalayam Velusamy
authors.initials: MV
authors.lastname: Madhankumar
authors.forename: Shankar
authors.initials: S
authors.lastname: Annapoorni
mesh_terms: D000369:Aged, 80 and over; D002113:Calcification, Physiologic; D003560:Cysts / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery*; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography