J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1815KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(2): 282-285, 1988

Case report

A CASE OF RETROPERITONEAL CHYLOUS CYST DEVELOPPED AFTER CHOLECYSTECTOMY AND CHOLEDOCHOTOMY

Department of Surgery, Nagoya City Josai Hospital, Nagoya, Japan

Hiroshi Niwa, Norio Sumita, Koro Ishihara, Teruhiko Hoshino, Hirotaka Iwase, Yoshiyuki Kuwabara

A 43-year-old woman complaining of upper abdominal pain was referred to our clinic. Well movable mass was detected in the right hypochondria region by palpaion. Three years before, she underwent cholecystectomy and choledochotomy for cholelithiasis. After that she had been aware of painless mass in the right hypochondria region, but because of no symptom she regarded it as operative scar and had no treatment. Abdominal CT, ultrasonography, upper GI series and barium enema revealed a retroperitoneal cyst compressing the 3rd portion of the duodenum upward and the vena cava backward. Laparotomy showed an unilocular chylous cyst,5cm in diameter in the retroperitoneal cavity. Histologically, the cyst was cystic lymphangioma. Etiologically, the previous operation of cholecystcholedocholithiasis was supposed to be a trigger of the development of the chylous cyst.

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