To describe the challenging surgical procedure of a rare, massive retroperitoneal leiomyoma and address the patient’s significant perioperative psychological distress, including the administration of postoperative circulation reconstruction.
Key Findings:
The patient had a massive retroperitoneal neoplasm measuring 48×48×25 cm3 and experienced a weight loss of 4 kg in the week prior to surgery.
Postoperative pathological examination confirmed a spindle cell tumor consistent with degenerative changes of leiomyoma.
Multidisciplinary collaboration was critical in managing the complex case.
Interpretation:
The case highlights the importance of innovative surgical techniques, such as the warm water bag method, and psychological support in managing large retroperitoneal masses.
Limitations:
The rarity of retroperitoneal leiomyomas limits generalizability.
The case report does not provide long-term follow-up data.
Conclusion:
This case emphasizes the significance of psychological intervention and multidisciplinary collaboration in managing complex retroperitoneal masses.
