Skip to main content
Top
Published in: Abdominal Radiology 2/2020

01-02-2020 | Magnetic Resonance Imaging | Review

Retroperitoneal cystic masses: magnetic resonance imaging features

Authors: Tarek M. Hegazi, Abdulaziz M. Al-Sharydah, Karen S. Lee, Koenraad Mortele

Published in: Abdominal Radiology | Issue 2/2020

Login to get access

Abstract

The objective of this review is to discuss the clinical and histopathologic features, MRI characteristics, and management options of retroperitoneal cystic masses. Radiologists should be familiar with the MR imaging characteristics of retroperitoneal cystic masses to allow for a refined differential diagnosis, assist with lesion management, and prevent unnecessary invasive procedures.
Literature
1.
go back to reference Ranson JH (1982) Etiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol 77(9):633-638.PubMed Ranson JH (1982) Etiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol 77(9):633-638.PubMed
2.
go back to reference Memis A, Parildar M (2002) Interventional radiological treatment in complications of pancreatitis. Eur J Radiol 43(3):219-228.PubMed Memis A, Parildar M (2002) Interventional radiological treatment in complications of pancreatitis. Eur J Radiol 43(3):219-228.PubMed
3.
go back to reference Thoeni RF (2012) The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology 262(3):751-764.PubMed Thoeni RF (2012) The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology 262(3):751-764.PubMed
4.
go back to reference Bradley EL, 3rd (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992. Arch Surg 128(5):586-590.PubMed Bradley EL, 3rd (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992. Arch Surg 128(5):586-590.PubMed
5.
go back to reference Macari M, Finn ME, Bennett GL et al (2009) Differentiating pancreatic cystic neoplasms from pancreatic pseudocysts at MR imaging: value of perceived internal debris. Radiology 251(1):77-84.PubMed Macari M, Finn ME, Bennett GL et al (2009) Differentiating pancreatic cystic neoplasms from pancreatic pseudocysts at MR imaging: value of perceived internal debris. Radiology 251(1):77-84.PubMed
6.
go back to reference Stoupis C, Ros PR, Abbitt PL et al (1994) Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics 14(4):729-737.PubMed Stoupis C, Ros PR, Abbitt PL et al (1994) Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics 14(4):729-737.PubMed
7.
go back to reference Prabhu R, Rodrigues G, Sarma YS et al (2013) Non-pancreatic retroperitoneal pseudocyst: a benign disease with non-specific symptoms. BMJ Case Rep 2013. Prabhu R, Rodrigues G, Sarma YS et al (2013) Non-pancreatic retroperitoneal pseudocyst: a benign disease with non-specific symptoms. BMJ Case Rep 2013.
8.
go back to reference Yang DM, Jung DH, Kim H et al (2004) Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiographics 24(5):1353-1365.PubMed Yang DM, Jung DH, Kim H et al (2004) Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiographics 24(5):1353-1365.PubMed
9.
go back to reference Syuto T, Hatori M, Masashi N et al (2013) Chronic expanding hematoma in the retroperitoneal space: a case report. BMC 13:60. Syuto T, Hatori M, Masashi N et al (2013) Chronic expanding hematoma in the retroperitoneal space: a case report. BMC 13:60.
10.
go back to reference Rajiah P, Sinha R, Cuevas C et al (2011) Imaging of uncommon retroperitoneal masses. Radiographics 31(4):949-976.PubMed Rajiah P, Sinha R, Cuevas C et al (2011) Imaging of uncommon retroperitoneal masses. Radiographics 31(4):949-976.PubMed
11.
go back to reference Aoki T, Nakata H, Watanabe H et al (1999) The radiological findings in chronic expanding hematoma. Skeletal Radiol 28(7):396-401.PubMed Aoki T, Nakata H, Watanabe H et al (1999) The radiological findings in chronic expanding hematoma. Skeletal Radiol 28(7):396-401.PubMed
12.
go back to reference Akata S, Ohkubo Y, Jinho P et al (2000) MR features of a case of chronic expanding hematoma. Clin Imaging 24(1):44-46.PubMed Akata S, Ohkubo Y, Jinho P et al (2000) MR features of a case of chronic expanding hematoma. Clin Imaging 24(1):44-46.PubMed
13.
go back to reference Titton RL, Gervais DA, Hahn PF et al (2003) Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 23(5):1133-1147.PubMed Titton RL, Gervais DA, Hahn PF et al (2003) Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 23(5):1133-1147.PubMed
14.
go back to reference Pastore M, Manci N, Marchetti C et al (2007) Late aortic lymphocele and residual ovary syndrome after gynecological surgery. World J Surg Oncol 5:146.PubMedPubMedCentral Pastore M, Manci N, Marchetti C et al (2007) Late aortic lymphocele and residual ovary syndrome after gynecological surgery. World J Surg Oncol 5:146.PubMedPubMedCentral
15.
go back to reference Healy ME, Teng SS, Moss AA (1984) Uriniferous pseudocyst: computed tomographic findings. Radiology 153(3):757-762.PubMed Healy ME, Teng SS, Moss AA (1984) Uriniferous pseudocyst: computed tomographic findings. Radiology 153(3):757-762.PubMed
16.
go back to reference Kim JK, Jeong YY, Kim YH et al (1999) Postoperative pelvic lymphocele: treatment with simple percutaneous catheter drainage. Radiology 212(2):390-394.PubMed Kim JK, Jeong YY, Kim YH et al (1999) Postoperative pelvic lymphocele: treatment with simple percutaneous catheter drainage. Radiology 212(2):390-394.PubMed
17.
go back to reference Moyle PL, Kataoka MY, Nakai A et al (2010) Nonovarian cystic lesions of the pelvis. Radiographics 30(4):921-938.PubMed Moyle PL, Kataoka MY, Nakai A et al (2010) Nonovarian cystic lesions of the pelvis. Radiographics 30(4):921-938.PubMed
18.
go back to reference Davidson AJ, Hartman DS, Goldman SM (1989) Mature teratoma of the retroperitoneum: radiologic, pathologic, and clinical correlation. Radiology 172(2):421-425.PubMed Davidson AJ, Hartman DS, Goldman SM (1989) Mature teratoma of the retroperitoneum: radiologic, pathologic, and clinical correlation. Radiology 172(2):421-425.PubMed
19.
go back to reference Ueno T, Tanaka YO, Nagata M et al (2004) Spectrum of germ cell tumors: from head to toe. Radiographics 24(2):387-404.PubMed Ueno T, Tanaka YO, Nagata M et al (2004) Spectrum of germ cell tumors: from head to toe. Radiographics 24(2):387-404.PubMed
20.
go back to reference Tripathi M, Parshad S, Karwasra RK et al (2015) Retroperitoneal lymphangioma in an adult: a case report of a rare clinical entity. Case Rep Surg 2015:732531.PubMedPubMedCentral Tripathi M, Parshad S, Karwasra RK et al (2015) Retroperitoneal lymphangioma in an adult: a case report of a rare clinical entity. Case Rep Surg 2015:732531.PubMedPubMedCentral
21.
go back to reference Bhavsar T, Saeed-Vafa D, Harbison S et al (2010) Retroperitoneal cystic lymphangioma in an adult: A case report and review of the literature. World J Gastrointest Pathophysiol 1(5):171-176.PubMedPubMedCentral Bhavsar T, Saeed-Vafa D, Harbison S et al (2010) Retroperitoneal cystic lymphangioma in an adult: A case report and review of the literature. World J Gastrointest Pathophysiol 1(5):171-176.PubMedPubMedCentral
22.
go back to reference de Perrot M, Rostan O, Morel P et al (1998) Abdominal lymphangioma in adults and children. Br J Surg 85(3):395-397.PubMed de Perrot M, Rostan O, Morel P et al (1998) Abdominal lymphangioma in adults and children. Br J Surg 85(3):395-397.PubMed
23.
go back to reference Navin P, Meshkat B, McHugh S et al (2012) Primary retroperitoneal mucinous cystadenoma-A case study and review of the literature. Int J Surg Case Rep 3(10):486-488.PubMedPubMedCentral Navin P, Meshkat B, McHugh S et al (2012) Primary retroperitoneal mucinous cystadenoma-A case study and review of the literature. Int J Surg Case Rep 3(10):486-488.PubMedPubMedCentral
24.
go back to reference Park U, Han KC, Chang HK et al (1991) A primary mucinous cystoadenocarcinoma of the retroperitoneum. Gynecol Oncol 42(1):64-67.PubMed Park U, Han KC, Chang HK et al (1991) A primary mucinous cystoadenocarcinoma of the retroperitoneum. Gynecol Oncol 42(1):64-67.PubMed
25.
go back to reference Chen JS, Lee WJ, Chang YJ et al (1998) Laparoscopic resection of a primary retroperitoneal mucinous cystadenoma: report of a case. Surg Today 28(3):343-345.PubMed Chen JS, Lee WJ, Chang YJ et al (1998) Laparoscopic resection of a primary retroperitoneal mucinous cystadenoma: report of a case. Surg Today 28(3):343-345.PubMed
26.
go back to reference Uematsu T, Kitamura H, Iwase M et al (2000) Ruptured retroperitoneal mucinous cystadenocarcinoma with synchronous gastric carcinoma and a long postoperative survival: case report. J Surg Oncol 73(1):26-30.PubMed Uematsu T, Kitamura H, Iwase M et al (2000) Ruptured retroperitoneal mucinous cystadenocarcinoma with synchronous gastric carcinoma and a long postoperative survival: case report. J Surg Oncol 73(1):26-30.PubMed
27.
go back to reference O'Neil JD, Ros PR, Storm BL et al (1989) Cystic mesothelioma of the peritoneum. Radiology 170(2):333-337.PubMed O'Neil JD, Ros PR, Storm BL et al (1989) Cystic mesothelioma of the peritoneum. Radiology 170(2):333-337.PubMed
28.
go back to reference Weiss SW, Tavassoli FA (1988) Multicystic mesothelioma. An analysis of pathologic findings and biologic behavior in 37 cases. Am J Surg Pathol 12(10):737-746.PubMed Weiss SW, Tavassoli FA (1988) Multicystic mesothelioma. An analysis of pathologic findings and biologic behavior in 37 cases. Am J Surg Pathol 12(10):737-746.PubMed
29.
go back to reference Philip G, Reilly AL (1984) Benign cystic mesothelioma. Case reports. Br J Obstet Gynaecol 91(9):932-938.PubMed Philip G, Reilly AL (1984) Benign cystic mesothelioma. Case reports. Br J Obstet Gynaecol 91(9):932-938.PubMed
30.
go back to reference Burkett JS, Pickleman J (1994) The rationale for surgical treatment of mesenteric and retroperitoneal cysts. Am Surg 60(6):432-435.PubMed Burkett JS, Pickleman J (1994) The rationale for surgical treatment of mesenteric and retroperitoneal cysts. Am Surg 60(6):432-435.PubMed
31.
go back to reference Bakhshi GD, Wankhede KR, Tayade MB et al (2013) Retroperitoneal approach for recurrent benign multicystic peritoneal mesothelioma. Clin Pract 3(1):e3.PubMedPubMedCentral Bakhshi GD, Wankhede KR, Tayade MB et al (2013) Retroperitoneal approach for recurrent benign multicystic peritoneal mesothelioma. Clin Pract 3(1):e3.PubMedPubMedCentral
32.
go back to reference McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML et al (2000) Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology 217(2):441-446.PubMed McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML et al (2000) Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology 217(2):441-446.PubMed
33.
go back to reference Wang SE, Tsai YF, Su CH et al (2006) Retroperitoneal bronchogenic cyst mimicking pancreatic cystic lesion. J Chin Med Assoc 69(11):538-542.PubMed Wang SE, Tsai YF, Su CH et al (2006) Retroperitoneal bronchogenic cyst mimicking pancreatic cystic lesion. J Chin Med Assoc 69(11):538-542.PubMed
34.
go back to reference Haddadin WJ, Reid R, Jindal RM (2001) A retroperitoneal bronchogenic cyst: a rare cause of a mass in the adrenal region. J Clin Pathol 54(10):801-802.PubMedPubMedCentral Haddadin WJ, Reid R, Jindal RM (2001) A retroperitoneal bronchogenic cyst: a rare cause of a mass in the adrenal region. J Clin Pathol 54(10):801-802.PubMedPubMedCentral
35.
go back to reference Castro R, Oliveira MI, Fernandes T et al (2013) Retroperitoneal bronchogenic cyst: MRI findings. Case Rep Radiol 2013:853795.PubMedPubMedCentral Castro R, Oliveira MI, Fernandes T et al (2013) Retroperitoneal bronchogenic cyst: MRI findings. Case Rep Radiol 2013:853795.PubMedPubMedCentral
36.
go back to reference Uhlig BE, Johnson RL (1975) Presacral tumors and cysts in adults. Dis Colon Rectum 18(7):581-589.PubMed Uhlig BE, Johnson RL (1975) Presacral tumors and cysts in adults. Dis Colon Rectum 18(7):581-589.PubMed
37.
go back to reference Yang DM, Yoon MH, Kim HS et al (2001) Presacral epidermoid cyst: imaging findings with histopathologic correlation. Abdom Imaging 26(1):79-82.PubMed Yang DM, Yoon MH, Kim HS et al (2001) Presacral epidermoid cyst: imaging findings with histopathologic correlation. Abdom Imaging 26(1):79-82.PubMed
38.
go back to reference Yang BL, Gu YF, Shao WJ et al (2010) Retrorectal tumors in adults: magnetic resonance imaging findings. World J Gastroenterol 16(46):5822-5829.PubMedPubMedCentral Yang BL, Gu YF, Shao WJ et al (2010) Retrorectal tumors in adults: magnetic resonance imaging findings. World J Gastroenterol 16(46):5822-5829.PubMedPubMedCentral
39.
go back to reference Johnson AR, Ros PR, Hjermstad BM (1986) Tailgut cyst: diagnosis with CT and sonography. AJR Am J Roentgenol 147(6):1309-1311.PubMed Johnson AR, Ros PR, Hjermstad BM (1986) Tailgut cyst: diagnosis with CT and sonography. AJR Am J Roentgenol 147(6):1309-1311.PubMed
40.
go back to reference Saba L, Fellini F, Greco FG et al (2014) MRI evaluation of not complicated Tailgut cyst: Case report. Int J Surg Case Rep 5(10):761-764.PubMedPubMedCentral Saba L, Fellini F, Greco FG et al (2014) MRI evaluation of not complicated Tailgut cyst: Case report. Int J Surg Case Rep 5(10):761-764.PubMedPubMedCentral
41.
go back to reference Mills SE, Walker AN, Stallings RG et al (1984) Retrorectal cystic hamartoma. Report of three cases, including one with a perirenal component. Arch Pathol Lab Med 108(9):737-740. Mills SE, Walker AN, Stallings RG et al (1984) Retrorectal cystic hamartoma. Report of three cases, including one with a perirenal component. Arch Pathol Lab Med 108(9):737-740.
42.
go back to reference Dahan H, Arrive L, Wendum D et al (2001) Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 21(3):575-584.PubMed Dahan H, Arrive L, Wendum D et al (2001) Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 21(3):575-584.PubMed
43.
go back to reference Yang DM, Park CH, Jin W et al (2005) Tailgut cyst: MRI evaluation. AJR Am J Roentgenol 184(5):1519-1523.PubMed Yang DM, Park CH, Jin W et al (2005) Tailgut cyst: MRI evaluation. AJR Am J Roentgenol 184(5):1519-1523.PubMed
44.
go back to reference Aflalo-Hazan V, Rousset P, Mourra N et al (2008) Tailgut cysts: MRI findings. Eur Radiol 18(11):2586-2593.PubMed Aflalo-Hazan V, Rousset P, Mourra N et al (2008) Tailgut cysts: MRI findings. Eur Radiol 18(11):2586-2593.PubMed
45.
go back to reference Kliewer KE, Cochran AJ (1989) A review of the histology, ultrastructure, immunohistology, and molecular biology of extra-adrenal paragangliomas. Arch Pathol Lab Med 113(11):1209-1218.PubMed Kliewer KE, Cochran AJ (1989) A review of the histology, ultrastructure, immunohistology, and molecular biology of extra-adrenal paragangliomas. Arch Pathol Lab Med 113(11):1209-1218.PubMed
46.
go back to reference Subramanian A, Maker VK (2006) Organs of Zuckerkandl: their surgical significance and a review of a century of literature. Am J Surg 192(2):224-234.PubMed Subramanian A, Maker VK (2006) Organs of Zuckerkandl: their surgical significance and a review of a century of literature. Am J Surg 192(2):224-234.PubMed
47.
go back to reference Salanitri J, Smith P, Schlicht S (2001) Multifocal malignant extra-adrenal paragangliomas of the Organ of Zuckerkandl and urinary bladder. Australas Radiol 45(2):229-232.PubMed Salanitri J, Smith P, Schlicht S (2001) Multifocal malignant extra-adrenal paragangliomas of the Organ of Zuckerkandl and urinary bladder. Australas Radiol 45(2):229-232.PubMed
48.
go back to reference Shanbhogue AK, Fasih N, Macdonald DB et al (2012) Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics 32(3):795-817.PubMed Shanbhogue AK, Fasih N, Macdonald DB et al (2012) Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics 32(3):795-817.PubMed
49.
go back to reference Lee KY, Oh YW, Noh HJ et al (2006) Extraadrenal paragangliomas of the body: imaging features. AJR Am J Roentgenol 187(2):492-504.PubMed Lee KY, Oh YW, Noh HJ et al (2006) Extraadrenal paragangliomas of the body: imaging features. AJR Am J Roentgenol 187(2):492-504.PubMed
50.
go back to reference Qiao HS, Feng XL, Yong L et al (2007) The MRI of extraadrenal pheochromocytoma in the abdominal cavity. Eur J Radiol 62(3):335-341.PubMed Qiao HS, Feng XL, Yong L et al (2007) The MRI of extraadrenal pheochromocytoma in the abdominal cavity. Eur J Radiol 62(3):335-341.PubMed
51.
go back to reference Theodosopoulos T, Stafyla VK, Tsiantoula P et al (2008) Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol 6:107.PubMedPubMedCentral Theodosopoulos T, Stafyla VK, Tsiantoula P et al (2008) Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol 6:107.PubMedPubMedCentral
52.
go back to reference Rasbridge SA, Browse NL, Tighe JR et al (1989) Malignant nerve sheath tumour arising in a benign ancient schwannoma. Histopathology 14(5):525-528.PubMed Rasbridge SA, Browse NL, Tighe JR et al (1989) Malignant nerve sheath tumour arising in a benign ancient schwannoma. Histopathology 14(5):525-528.PubMed
53.
go back to reference Hoarau N, Slim K, Da Ines D (2013) CT and MR imaging of retroperitoneal schwannoma. Diagn Interv Imaging 94(11):1133-1139.PubMed Hoarau N, Slim K, Da Ines D (2013) CT and MR imaging of retroperitoneal schwannoma. Diagn Interv Imaging 94(11):1133-1139.PubMed
54.
go back to reference Reith JD, Goldblum JR, Lyles RH et al (2000) Extragastrointestinal (soft tissue) stromal tumors: an analysis of 48 cases with emphasis on histologic predictors of outcome. Mod Pathol 13(5):577-585.PubMed Reith JD, Goldblum JR, Lyles RH et al (2000) Extragastrointestinal (soft tissue) stromal tumors: an analysis of 48 cases with emphasis on histologic predictors of outcome. Mod Pathol 13(5):577-585.PubMed
55.
go back to reference Sung MS, Kang HS, Suh JS et al (2000) Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics 20(4):1007-1019.PubMed Sung MS, Kang HS, Suh JS et al (2000) Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics 20(4):1007-1019.PubMed
56.
go back to reference Ioannidis O, Cheva A, Paraskevas G et al (2012) Pseudomyxoma retroperitonei: report of 2 cases and review of the literature. Rev Esp Enferm Dig 104(5):268-275.PubMed Ioannidis O, Cheva A, Paraskevas G et al (2012) Pseudomyxoma retroperitonei: report of 2 cases and review of the literature. Rev Esp Enferm Dig 104(5):268-275.PubMed
57.
go back to reference Matsuoka Y, Masumoto T, Suzuki K et al (1999) Pseudomyxoma retroperitonei. Eur Radiol 9(3):457-459.PubMed Matsuoka Y, Masumoto T, Suzuki K et al (1999) Pseudomyxoma retroperitonei. Eur Radiol 9(3):457-459.PubMed
Metadata
Title
Retroperitoneal cystic masses: magnetic resonance imaging features
Authors
Tarek M. Hegazi
Abdulaziz M. Al-Sharydah
Karen S. Lee
Koenraad Mortele
Publication date
01-02-2020
Publisher
Springer US
Published in
Abdominal Radiology / Issue 2/2020
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-019-02246-2

Other articles of this Issue 2/2020

Abdominal Radiology 2/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.