case_images: PMC9482249_01
case_images: PMC9482249_02
case_images: 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
case_images: PAMJ-42-153-g001.jpg
case_images: PMC9482249_02_PAMJ-42-153-g001.jpg
case_images: F1
case_images: It laminates the abdominal aorta, the left iliac vessels, and the left ureter with no adjacent organ invasion without satellite lymphadenopathies (Figure 1).
case_images: intraoperative photo showing the mass (arrow)
case_images: PAMJ-42-153-g002.jpg
case_images: PMC9482249_02_PAMJ-42-153-g002.jpg
case_images: F2
case_images: The cyst was found in the retroperitoneum on the left side and measured 20 x 15 cm (Figure 2).
case_images: intraoperative photo showing the abdomen after cyst resection (arrow); the mass adhered to the left ureter, the abdominal aorta, and the left psoas muscle
case_images: PAMJ-42-153-g003.jpg
case_images: PMC9482249_02_PAMJ-42-153-g003.jpg
case_images: F3
case_images: Total cystectomy was carefully performed since the adhesions with the left ureter, the abdominal aorta, and the left psoas muscle (Figure 3).
case_images: histological image shows that the muscular wall cyst is lined by a single layer of benign, flattened endothelium (arrows)
case_images: PAMJ-42-153-g004.jpg
case_images: PMC9482249_02_PAMJ-42-153-g004.jpg
case_images: F4
case_images: 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).