PMC6310916_01
Presentation of the abdomen before the operation
med-13-539-g001.jpg
PMC6310916_01_med-13-539-g001.jpg
j_med-2018-0079_fig_001
We present the case of a 54-year-old obese (body mass index 33.7 kg/m2), diabetic male patient presenting with a large palpable mass in the anterior abdominal wall (Figure 1).
Giant cystic lesion on the computed tomography scan
med-13-539-g002.jpg
PMC6310916_01_med-13-539-g002.jpg
j_med-2018-0079_fig_002
CT indicated 170 x 153 x 217 mm well-defined cystic lesion (~15 HU) with thickened partitions and flat contact with muscles of the anterior abdominal wall (Figure 2).
Excision of the encapsulated seroma in progress
med-13-539-g003.jpg
PMC6310916_01_med-13-539-g003.jpg
j_med-2018-0079_fig_003
Extirpation of the cyst was accomplished and no defect in the abdominal wall was observed (Figure 3, 4).
Anterior abdominal wall after encapsulated seroma excision
med-13-539-g004.jpg
PMC6310916_01_med-13-539-g004.jpg
j_med-2018-0079_fig_004
Extirpation of the cyst was accomplished and no defect in the abdominal wall was observed (Figure 3, 4).
Anterior abdominal wall after wound closure
med-13-539-g005.jpg
PMC6310916_01_med-13-539-g005.jpg
j_med-2018-0079_fig_005
After removal of the excess of the skin, the subcutaneous layer and skin were sutured by individual stitches (Figure 5).
Removed specimen
med-13-539-g006.jpg
PMC6310916_01_med-13-539-g006.jpg
j_med-2018-0079_fig_006
The removed specimen was sent for pathological evaluation (Figure 6a, 6b), which revealed granulomatous inflammation in fibrotic wall of the pseudocyst.