Retroperitoneal Mass: Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Bronchogenic cysts (congenital lung malformation).

Infectious and parasitic diseases (A00-B99).

Circulatory system (I00-I99)

  • Lymphangiomas (benign tumors (hamartoma) of the lymphatic vessels).

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

Musculoskeletal system and connective tissue (M00-M99).

  • Psoas abscess – abscess (collection of pus) in the iliopsoas muscle (pulls from the thoracic/lumbar vertebrae to the ilium/thigh bone).

Neoplasms – tumor diseases (C00-D48).

  • Benign (benign) neoplasms
    • Fibromatosis
    • Lipomas
    • Renal tumors such as adenomas, angiomyolipomas
    • Neurogenic tumors (schwannoma, neurofibroma), paragangliomas.
  • Germ cell tumors (primary tumors are very rare; mostly metastases from testicular tumors).
  • Lymphomas (abdominal Hodgkin’s lymphoma: often confined to the spleen and retroperitoneal space).
  • Lymph node metastases (e.g., due totesticular, prostate, breast, cervical, endometrial, ovarian, colon, gastric, renal carcinoma).
  • Malignant fibrous histiocytoma (dermatofibroma) (elderly patients).
  • Malignant mesenchymal tumors (including sarcomas, liposarcomas, leiomyosarcomas).
  • Adrenal tumors, unspecified.
  • Renal pelvic carcinoma (renal pelvic cancer) and other malignant neoplasms of the kidney, such as sarcomas or lymphomas
  • Renal cell carcinoma
  • Non-pancreatic pseudocysts (cyst-like structure, which, however, unlike the cyst, has no epithelial lining).
  • Wilms tumor (nephroblastoma) – malignant (malignant), embryonal, relatively rare tumor of the kidney; the most common form of renal cell carcinoma (kidney cancer) in childhood; due to the presence of tumor mass, half the abdomen (hemiabdomen) of the patient is often considerably bulging
  • Cystadenomas and cystadenocarcinomas.

Genitourinary system (N00-N99)

  • Retroperitoneal fibrosis (retroperitoneal fibrosis; synonyms: Albarran-Ormond syndrome, Ormond’s disease, Ormond’s syndrome; Engl. “Gerota’s fascitis” or “Gerota’s syndrome”) slowly increasing fibrosis (connective tissue proliferation) between the posterior peritoneum and the spine with walled-in vessels, nerves and ureters (ureters); autoimmune diseaseSex ratio: males to females: 1: 2; peak incidence: age of 50-60 years, prevalence (disease incidence): 1/200,000.
  • Urinomas (pathological accumulation of urine).

Other differential diagnoses

  • Pneumoretroperitoneum wg intestinal perforation, necrotizing fasciitis (foudroyant life-threatening infection of the skin, subcutis (subcutaneous tissue) and fascia with progressive gangrene; often involves patients with diabetes mellitus or other diseases leading to circulatory disorders or reduced immune defenses) or pancreatitis (pancreatitis).
  • Retroperitoneal fluid collections:
    • Hematomas (bruising).
    • Lymphoceles
    • Urinomas
    • Infection