PMC9482249_01
PMC9482249_02
computerized tomography scan showing a huge intraperitoneal hypodense cystic mass measuring 195 x 145 mm in width and 245 mm in length that occupied the aorta, the left iliac vessels, and the left ureter
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F1
It laminates the abdominal aorta, the left iliac vessels, and the left ureter with no adjacent organ invasion without satellite lymphadenopathies (Figure 1).
intraoperative photo showing the mass (arrow)
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F2
The cyst was found in the retroperitoneum on the left side and measured 20 x 15 cm (Figure 2).
intraoperative photo showing the abdomen after cyst resection (arrow); the mass adhered to the left ureter, the abdominal aorta, and the left psoas muscle
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F3
Total cystectomy was carefully performed since the adhesions with the left ureter, the abdominal aorta, and the left psoas muscle (Figure 3).
histological image shows that the muscular wall cyst is lined by a single layer of benign, flattened endothelium (arrows)
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F4
The histopathological examination of the specimens showed large dilated cysts lined by flattened endothelial cells, suggestive of cystic lymphangioma and a benign cystadenoma of the pancreas (Figure 4).