Retroperitoneal dermoid cyst presenting with radiculopathy symptoms: a case report.

Abstract

Dermoid cysts rarely present in the retroperitoneal space or during adulthood. In this case report, we describe the clinical presentation, operative and post-operative course of a 31-year old with a retroperitoneal dermoid cyst. The patient presented with buttock and leg pain/paresthesia found to have a retroperitoneal mass between the psoas muscle and L5/S1 disk space. We describe the operative approach, including intra-operative images, of the resection by a team of urologists and neurosurgeons. The histology is also presented. Finally, we discuss the benefits of use of intra-operative ultrasound and neuromonitoring.

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Citation

Published Version (Please cite this version)

10.1093/jscr/rjac588

Publication Info

Kelly-Hedrick, Margot, Jason M Frerich, Emily M Peairs, Diana M Cardona, Rohith Arcot, Brandon Smith, Michael Abern, Chad Miller, et al. (2022). Retroperitoneal dermoid cyst presenting with radiculopathy symptoms: a case report. Journal of surgical case reports, 2022(12). p. rjac588. 10.1093/jscr/rjac588 Retrieved from https://hdl.handle.net/10161/26949.

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Scholars@Duke

Cardona

Diana Marcella Cardona

Adjunct Associate Professor in the Department of Pathology

I am active in translational research involving gastrointestinal/hepatobiliary pathology [specifically transplant related pathology (GVHD and rejection) and carcinogenesis of the pancreas] and bone and soft tissue malignancies [imaging techniques for intraoperative margin assessment].

Smith

Brandon Wayne Smith

Adjunct Assistant Professor in the Department of Neurosurgery

I'm a neurosurgeon with advanced training in peripheral nerve surgery. I treat surgical nerve issues in both the upper and lower extremities. My main interest is in regenerative nerve surgery focused on improving physical function. 

In research and academics, I'm most interested in teaching and advancing treatment techniques and outcome optimization. 

Abern

Michael R Abern

Associate Professor of Urology
Miller

Chad Michael Miller

Associate Professor of Radiology
Abd-El-Barr

Muhammad Abd-El-Barr

Professor of Neurosurgery

As a Neurosurgeon with fellowship training in Spine Surgery, I have dedicated my professional life to treating patients with spine disorders. These include spinal stenosis, spondylolisthesis, scoliosis, herniated discs and spine tumors. I incorporate minimally-invasive spine (MIS) techniques whenever appropriate to minimize pain and length of stay, yet not compromise on achieving the goals of surgery, which is ultimately to get you back to the quality of life you once enjoyed. I was drawn to medicine and neurosurgery for the unique ability to incorporate the latest in technology and neuroscience to making patients better. I will treat you and your loved ones with the same kind of care I would want my loved ones to be treated with. In addition to my clinical practice, I will be working with Duke Bioengineers and Neurobiologists on important basic and translational questions surrounding spinal cord injuries (SCI), which we hope to bring to clinical relevance.


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