Update on MR Imaging of Cystic Retroperitoneal Masses

Overview

Journal Abdom Radiol (NY)

Publisher Springer

Specialties Gastroenterology
Radiology

Date 2019 Sep 11

PMID 31501965

Citations 3

Authors

Kathleen Nguyen

Evan S Siegelman

Wendy Tu

Nicola Schieda

Affiliations

Soon will be listed here.

Abstract

Objective: This article reviews the MRI appearance of cystic retroperitoneal (RP) masses.

Conclusion: Lymphangiomas are the most common RP cystic masses and typically appear simple; microscopic fat is a specific but insensitive finding. Location, internal complexity, and enhancement pattern suggest alternative diagnoses which range from normal anatomic variants to congenital abnormalities and importantly include benign, neurogenic, and malignant neoplasms. An approach to the MR imaging of cystic RP masses is presented.

Citing Articles

Retroperitoneal cystic lymphangioma coexisting with a uterine fibroid in a 42-year-old woman: A case report.

El Hassouni F, Mchichou S, Sassi S, Lamalmi N, Bargach S, Yousfi Malki M Case Rep Womens Health. 2024; 43:e00646.

PMID: 39282139 PMC: 11402116. DOI: 10.1016/j.crwh.2024.e00646.

A Rare Case of Subclavicular Cystic Lymphangioma in Adults Adhering to Axillary Vessels.

Daly H Cureus. 2023; 15(10):e47341.

PMID: 38021546 PMC: 10657233. DOI: 10.7759/cureus.47341.

Imaging Findings and Misdiagnosis of Bronchogenic Cysts: A Study of 83 Cases.

Gu X, Zhu L, Li Y, Yin B, Wang Z J Belg Soc Radiol. 2023; 107(1):81.

PMID: 37869449 PMC: 10588525. DOI: 10.5334/jbsr.3214.

References

Weekes R, Berquist T, Mcleod R, Zimmer W . Magnetic resonance imaging of soft-tissue tumors: comparison with computed tomography. Magn Reson Imaging. 1985; 3(4):345-52. DOI: 10.1016/0730-725x(85)90398-4. View

Davarpanah A, Israel G . MR imaging of the kidneys and adrenal glands. Radiol Clin North Am. 2014; 52(4):779-98. DOI: 10.1016/j.rcl.2014.02.003. View

Tirkes T, Sandrasegaran K, Patel A, Hollar M, Tejada J, Tann M . Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics. 2012; 32(2):437-51. DOI: 10.1148/rg.322115032. View

Stoupis C, Ros P, Abbitt P, Burton S, Gauger J . Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics. 1994; 14(4):729-37. DOI: 10.1148/radiographics.14.4.7938764. View

Ayyappan A, Jhaveri K, Haider M . Radiological assessment of mesenteric and retroperitoneal cysts in adults: is there a role for chemical shift MRI?. Clin Imaging. 2011; 35(2):127-32. DOI: 10.1016/j.clinimag.2010.03.003. View

Mirsadeghi A, Farrokhi F, Fazli-Shahri A, Gholipour B . Retroperitoneal bronchogenic cyst: a case report. Med J Islam Repub Iran. 2014; 28:56. PMC: 4219886. View

Mehdi G, Maheshwari V, Afzal S, Ansari H, Ahmad I . Image-guided fine-needle aspiration of retroperitoneal masses: The role of the cytopathologist. J Cytol. 2013; 30(1):36-41. PMC: 3643360. DOI: 10.4103/0970-9371.107511. View

Gatcombe H, Assikis V, Kooby D, Johnstone P . Primary retroperitoneal teratomas: a review of the literature. J Surg Oncol. 2004; 86(2):107-13. DOI: 10.1002/jso.20043. View

Sato F, Mimata H, Mori K . Primary retroperitoneal mature cystic teratoma presenting as an adrenal tumor in an adult. Int J Urol. 2010; 17(9):817. DOI: 10.1111/j.1442-2042.2010.02591.x. View

10.

Sahin H, Abdullazade S, Sanci M . Mature cystic teratoma of the ovary: a cutting edge overview on imaging features. Insights Imaging. 2017; 8(2):227-241. PMC: 5359144. DOI: 10.1007/s13244-016-0539-9. View

11.

Craig W, Fanburg-Smith J, Henry L, Guerrero R, Barton J . Fat-containing lesions of the retroperitoneum: radiologic-pathologic correlation. Radiographics. 2009; 29(1):261-90. DOI: 10.1148/rg.291085203. View

12.

Singh K, L Wang M, Ofori E, Widmann W, Alemi A, Nakaska M . Gallstone abscess as a result of dropped gallstones during laparoscopic cholecystectomy. Int J Surg Case Rep. 2012; 3(12):611-3. PMC: 3484834. DOI: 10.1016/j.ijscr.2012.07.017. View

13.

Federle M, Jeffrey R, Crass R, Van Dalsem V . Computed tomography of pancreatic abscesses. AJR Am J Roentgenol. 1981; 136(5):879-82. DOI: 10.2214/ajr.136.5.879. View

14.

Mavilia M, Molina M, Wu G . The Evolving Nature of Hepatic Abscess: A Review. J Clin Transl Hepatol. 2016; 4(2):158-68. PMC: 4913073. DOI: 10.14218/JCTH.2016.00004. View

15.

Daly K, Ho C, Persson D, Gay S . Traumatic Retroperitoneal Injuries: Review of Multidetector CT Findings. Radiographics. 2008; 28(6):1571-90. DOI: 10.1148/rg.286075141. View

16.

Hahn P, Saini S, Stark D, PAPANICOLAOU N, Ferrucci Jr J . Intraabdominal hematoma: the concentric-ring sign in MR imaging. AJR Am J Roentgenol. 1987; 148(1):115-9. DOI: 10.2214/ajr.148.1.115. View

17.

Mingoli A, Cavallaro A, Sapienza P, Di Marzo L, FELDHAUS R, Cavallari N . International registry of inferior vena cava leiomyosarcoma: analysis of a world series on 218 patients. Anticancer Res. 1996; 16(5B):3201-5. View

18.

Bruyninckx C, Derksen O . Leiomyosarcoma of the inferior vena cava. Case report and review of the literature. J Vasc Surg. 1986; 3(4):652-6. View

19.

Navin P, Meshkat B, McHugh S, Beegan C, Leen E, Prins H . Primary retroperitoneal mucinous cystadenoma-A case study and review of the literature. Int J Surg Case Rep. 2012; 3(10):486-8. PMC: 3421145. DOI: 10.1016/j.ijscr.2012.05.010. View

20.

Min B, Kim J, Um J, Lee E, Son G, Kim S . The first case of primary retroperitoneal mucinous cystadenoma in Korea: a case report. Korean J Intern Med. 2005; 19(4):282-4. PMC: 4531569. DOI: 10.3904/kjim.2004.19.4.282. View