#cyst on kidney causes

[themanwhowouldbefruit]

my doctor was sooooo fucking worthless and unhelpful im going to masturbate and i hope it fucking kills me

[newhologram]

New's unexpected new diagnosis

A whole month after surgery, I finally got my results. Lots to talk about here.

Based on my symptoms and medical history, the surgeon said he went in fully expecting severe endometriosis with adhesions. He identified the cyst on my left ovary and removed it (kicking myself because I forgot to ask what kind of cyst it was). My uterine tubes were also easily removed, so sterilization was successful. I asked about my chart reading “unilateral oophorectomy” but he assured me that was a typo, they did not in fact have to remove one of my ovaries. Phew. (Also re: being sent home without pain meds, he was like WHAT. He pulled up the records and there it was, he had it noted that I was to be sent home with meds. So someone at the hospital messed up. He asked me, “but you eventually got meds, right?” Yeah, but it was oxycodone and that barely touches my pain. I told him when I go to the ER for flare ups multiple times a year, they have to give me hydromorphone every 2-4 hours because it’s that bad. So he’s sending me to a new pain doctor and pelvic PT, but we’ll see if my insurance even lets me.) But other than that, he didn’t actually see any obvious endometriosis implants. Not even adhesions that would indicate it either. Nothing was stuck together like he expected. But he did stress, and I knew this from research already, that just because he didn’t see anything obvious doesn’t mean I don’t have endo. This is pretty common for patients on the first surgery. Sometimes not much is seen because it’s really the specialists who know how to identify other less-obvious lesions or hidden pockets of endo. My surgeon is very knowledgeable and I really like him, but he’s not actually an endo specialist (I can’t access them with my insurance, and even if I did have better insurance the co-pay would still be many thousands of dollars). Here’s where he was genuinely surprised: When he checked the backside of my uterus, he said it’s just completely scarred up. Rough and damaged from inflammation. Which could still be superficial endometriosis but is a giant red flag for adenomyosis (though it’s possible to have both). Quick explanation for those who need it: endometriosis is when tissue similar (but not the same as) the lining of the uterus grows outside of the uterus. It can grow on the surface, the ovaries, the bladder, kidneys, bowel, liver, nerves, lungs, or even the brain. These lesions bleed within the body and cause a lot of damage and often infertility. People have lost organs and their lives from this disease being so mismanaged by doctors. It spreads like cancer so it’s diagnosed in stages the same way. Adenomyosis has a lot of the same symptoms but the process is different. The lining instead grows into the muscle of the uterus, causing damage and often infertility. Both of these diseases can be painful, debilitating, and disabling no matter what stage. Though the endometriosis is still uncertain, my surgeon has diagnosed me with adenomyosis. Just to be extra certain, he’s sending me for a pelvic MRI with contrast during my period so he can have a better look. I actually had an MRI 2 years ago that had me questioning if I had adeno because I thought my uterus looked weird and stained, just dark and splotchy and roughly textured but no one noted it (radiologists are not trained well in identifying these diseases). I was mostly focused on the ovarian cyst so I kind of forgot about it.

But yeah, this explains a lot, because the back of the uterus is up against the rectum, which is where my colitis is the worst. The inflammation is close enough to affect the organs around it. This explains why my colitis seems so unmanageable, yet every time I have a colonoscopy they tell me it’s mild and act like I’m just being dramatic. This explains why everything’s just been getting worse and worse seemingly every year. The anemia, intense fatigue, weakness, nausea, and pain that hardly any meds (that will be given to me) can touch. Frustratingly, he didn’t have the pictures to show me despite multiple people telling me he would have them. I called and emailed the hospital all day today and thankfully they’re mailing everything my way. Where to from here? The only cure for adenomyosis is hysterectomy. I was considering getting a partial one (saving my ovaries so I don’t go into menopause) in a year or two anyway if my condition doesn't improve. There's still a potential risk of ovarian dysfunction/failure after 5 years but I'm getting older anyway and I need to move on. I can go on HRT if needed. Surgeon is in full agreement that this is the best way forward to improve my quality of life. Though this won’t cure any endo that might still be hiding, it will be a dramatically different experience without this diseased organ constantly ruining my life (and no more periods! I can’t even imagine that freedom). I’m overwhelmed at having to start this process again to get a whole nother surgery that’s much more intense than what I just had, but I had also prepared myself knowing that this was only the very first surgery. It wasn’t meant to “fix” me but to finally get eyes on my insides. Hopefully it doesn’t take a whole year again between the consult and the actual surgery. Glad there’s no damage from adhesions we’d have to deal with either, so that simplifies things a lot. I’m so thankful to finally have actual answers and a clear path moving forward for future recovery. I’ll never be “normal”, I have so many other chronic illnesses that I’ll have to keep working hard at managing, but we can at least do something about this one. I’ll update more when I get the surgery pictures and the new MRI. Surgeon has officially cleared me to take baths again, so I’m going to go luxuriate for a while. Thank you to everyone for the support, the donations, and the kind messages.

[crosstheveil]

Health: Adrenal Glands

TCM: Jing, Kidneys

GNM: Off Track (cortex), Unbearable Stress (medulla)

Greek: Sanguine (cortex), Choleric (medulla)

Chakra: Root

Astrology: Mars, Aries-Libra; ex. managing adrenal health can be especially important for natal placements like Mars in Libra/7th, Mars in Pisces/12th, South Node conjunct Mars, etc.

The adrenal glands, which sit atop the kidneys, play a central role in the body's response to stress, fatigue, immune challenges, and several key physiological and metabolic functions. Issues related to the adrenal glands is very common yet highly under-diagnosed. They consist of two regions:

Adrenal Cortex: Derived from the mesodermal base substance cholesterol, the adrenal cortex produces hormones such as cortisol, corticosterone, aldosterone, and male sex hormones. These hormones play vital roles in physiological functions. Cortisol and corticosterone, known as stress hormones, contribute to the regulation of metabolism, inflammation, and blood sugar, and assist in long-term stress response by enriching the blood with minerals and glucose. Their anabolic effects also aid in healing and regeneration. Aldosterone helps maintain blood pressure by regulating the balance of salt and water in the body. The adrenal cortex's production of male sex hormones can influence the reproductive system. If unresolved, chronic stress may lead to excessive cortisol production, causing problems like weight gain and high blood sugar.

Adrenal Medulla: The endodermal adrenal medulla manages emotional and physical stress by producing the hormones noradrenaline, dopamine, and adrenaline. These hormones are pivotal in activating the "fight, fright, flight" response, a physiological reaction that occurs in response to a perceived harmful event or threat. This acute stress response increases heart rate, blood sugar, and mental alertness, along with other physiological changes. Chronic anger or emotional upheaval can strain the adrenal medulla, leading to an energetic drain.

Stress

The adrenal glands are highly sensitive to stress, and chronic stress can lead to various disorders:

Psychiatric Disorders: Neuroses, post-traumatic stress disorder (PTSD), depression, anxiety disorders, bipolar disorder.

Neurological Disorders: Migraines, peripheral neuropathy, dizziness, tremors.

Glandular Disorders: Issues related to other glands including the thyroid which is responsible for cell growth; for instance, uterine cancer, polyps, hypothyroidism, hyperthyroidism.

Cardiovascular Disorders: Coronary artery disease, stroke, heart attack, hypertension, arrhythmias.

Respiratory Disorders: Asthma, chronic obstructive pulmonary disease (COPD), difficulty in breathing.

Immunological Disorders: Possible tumor promotion, reduced resistance to infection, autoimmune disorders, chronic inflammation.

Metabolic Disorders: Diabetes, obesity, metabolic syndrome, difficulty in regulating blood sugar.

Gastrointestinal Disorders: Ulcers, irritable bowel syndrome (IBS), chronic indigestion, malabsorption.

Genitourinary Disorders: Impotence, incontinence, menstrual problems, urinary tract infections, kidney dysfunction.

Musculoskeletal Disorders: Muscle weakness, chronic fatigue, fibromyalgia, joint pain.

Skin Disorders: Acne, eczema, psoriasis, skin thinning.

Cysts and Cancer

Adrenal Weakness: If the adrenal glands don't produce enough adrenaline, the heart may pump slower, leading to fluid accumulation and cysts in the prostate, ovaries, and breasts. These cysts can harden and potentially lead to cancer.

Blood Flow: Increasing blood flow can help resolve cysts if addressed quickly.

Signs of Imbalance

Frequent sickness, fatigue, low libido, low backache, chronic health issues, dark circles under the eyes, hair loss, early greying, frequent urination at night, cold hands and feet, brain fog, pain and weakness in the lower back, loins, thighs, knees and lower body, urinary weakness and debility, polyuria and nocturia, impotence and male sexual dysfunction, moodiness and irritability, depression, muscle or bone loss, autoimmune conditions, chronic fatigue, hormone imbalance, body aches, unexplained weight loss, lightheadedness, skin discoloration (hyperpigmentation), weakened stress response, insulin resistance, sleep problems, weight gain, sweet and salty food cravings, difficulty getting up in the morning, increased PMS or menopausal symptoms, inability to handle stress, increased allergies, frequent sighing, cravings for salty foods, higher energy levels in the evenings, overuse of stimulants like caffeine.

Traditional Chinese Medicine (TCM)

Jing (essence): The statement by the Chinese that the kidneys harbor our Jing refers to the adrenals having the highest concentration of neural crest cell derivatives in the entire body. Strong Jing corresponds to robust characteristics like strong teeth, which are made by neural crest cells, while weak Jing relates to signs of aging like grey hair and deafness, also linked to neural crest cells. Jing's manifestations include the progression from youth to adulthood, reflected in functions controlled by the pituitary (aided by neural crest cells), and can be seen in the structure of the face and jaw. Neural crest cells also create the heart's connective tissue, affecting lifespan. Jing as a concept is not the same as neural crest cells but they represent the body's inherent organizational strength. Weak organizational energy leads to neural crest cells that don't form properly or function well, resulting in genetic disorders affecting facial development. The Chinese recognized these markers as indicators of weak Jing.

Kidneys & Urinary Tract: The adrenal glands are connected to the kidneys not just through the renal fascia, but also by way of the renal artery, draining into the renal vein, and receiving nerve connections from the renal plexus. The kidneys regulates the body's water content and are essential for maintaining healthy bones, as well as producing healthy bone marrow and blood. It determines the level of adrenaline and dopamine in the body, affecting our energy and rest. In addition, it forms a relationship with the heart through various hormones. During puberty, the adrenal cortex starts to produce sex hormones like testosterone and oestrogen, and this production continues throughout adulthood. Caffeine depletes kidney qi, yang, yin, and essence, contributing to liver and adrenal issues, and long-term exhaustion. Regular coffee drinkers, especially those who don’t feel its effects, may be nearing adrenal exhaustion. Adrenal fatigue is often considered a kidney yang deficiency. If left untreated, it can progress to a kidney yin deficiency. These deficiencies are often marked by a light low groaning tone to the voice, a darkish pallor under the eyes, negative attitudes of insufficiency or inadequacy, needing to sit and not being able to stand for long, and worrying about money. Additionally, those who experience traumatic shock or long term stress often have their hair turn gray or fall out.

Kidney Yang (medulla): Linked to the reactive sympathetic nervous system and the hormones adrenaline, dopamine, and norepinephrine, produced in the adrenals. A deficiency in kidney yang can lead to symptoms like cold hands and feet, edema, night urination, and low libido. This deficiency parallels disorders like adrenal fatigue, hypothyroidism, and sexual dysfunction. This condition is worsened by the use of marijuana, diminishing our natural drive, motivation, and willpower. Adrenaline is used to treat conditions like asthma, anaphylaxis, and slow heart rates. It works on the cell membrane's outside, which is known as the yang aspect of the cell. It never enters the cell but attaches to a receptor on the outside, initiating a cascade of chemicals that open or close gates on the cell's exterior. In the heart and muscles, adrenaline prompts more calcium to enter, which amplifies the force of contraction; in the lungs, it leads to the relaxation of the muscles, permitting more air to flow in; in the brain, it initiates the emotional reactions connected with fear.

Kidney Yin (cortex): Associated with the parasympathetic nervous system and the hormone cortisol, produced in the adrenals. A kidney yin deficiency may manifest as sore back, leg weakness, insomnia, and anxiety. It may parallel disorders like diabetes, high blood pressure, and hyperthyroidism. Although necessary for daily function and stress response, excessive cortisol can lead to fluid retention, osteoporosis, muscle wasting, depression, and diabetes. If our bodies stopped producing cortisol, it would result in significant illness. While adrenaline binds to the exterior of the cell (yang), cortisol is absorbed into the very core (yin). Contrary to the effects of adrenaline which are more immediate, the effects of cortisol can take years.

Greek Medicine

Hot Temperament: The adrenals are generally represented as stimulating and energizing various functions to adapt to stress.

Adrenal Cortex: Sanguine, nutritive, and anabolic, enriching the blood and decreasing swelling.

Adrenal Medulla: Choleric, energetic, and catabolic, stimulating acute stress response.

Faculty Support: Adrenal glands produce supplementary amounts of sexual hormones, bridging a connection between vital and generative faculties; supporting heart and lungs (vital), kidneys and pancreas in blood sugar regulation (natural), enhancing mental alertness and stimulating the sympathetic nervous system functioning (psychic), supporting male sexual function and response (generative).

Root Center: The adrenals form the basic energetic support for the entire organism, associated with the Root Chakra.

Kidneys & Urinary Tract: Weak adrenals may adversely affect the vitality and functioning of the kidneys and urinary tract, which are interlinked with the adrenal glands'. When the kidneys are not effectively eliminating fluids, it can lead to the accumulation of phlegm and moisture. Additionally, the kidneys have a connection to the soles of the feet which may be affected by cold conditions. Conditions of melancholy or devitalization of the adrenals, kidneys, and urinary tract often correlate with chronic fatigue.

Adrenal Exhaustion: Chronic stress and irregular habits can lead to fatigue, irritability, pain, and impotence in men usually caused by flare-ups of Choleric anger or any experiences which feel like a roller coaster. Sexual overindulgence also exhaust the adrenals.

Male Sexual Function: The adrenal glands provide energetic support for male sexual function. Issues with adrenal energy may result in sexual dysfunction, including impotence or premature ejaculation.

Blood Sugar Regulation: In instances of dangerously low blood sugar, the adrenal glands jump into action, raising levels through adrenaline. Chronic instability may involve adrenocortical hormones, aggravating factors in type II diabetes.

German New Medicine (GNM)

Adrenal Cortex (Off Track)

Conflict: Feeling like you've made a wrong choice or gone down the wrong path.

Under-Functioning: Waterhouse-Friedrichsen syndrome, adrenal gland insufficiency, Addison's disease. Reduced cortisol production, feeling stressed and tired.

Over-Functioning: Excess cortisol (Cushing's disease) with high blood pressure, round face, obesity, muscle atrophy or aldosterone (Conn's syndrome) with high blood pressure, low potassium, weak muscles, thirst, frequent urination.

Adrenal Medulla (Unbearable Stress)

Conflict: Extreme tension from stress, feeling overwhelmed. Something is beyond reach.

Diagnosis: Pheochromocytoma, neuroblastoma. High blood pressure, racing heart, increased blood sugar, sweating.

Astrology

Mars: This planet governs adrenaline, testosterone, male sexual function, playing a role in the catabolic metabolism where fuel is burned. It also oversees the release of toxins, the regulation of red blood cells, iron, and muscle tissue, including tendons and ligaments. It extends to the entire muscular system, embodying vitality and physical strength. The energy of Mars is hot and dry so it's temperament is Choleric. Mars co-rules the adrenals (with Aries/Libra) and the male genitalia (Scorpio).

Aries: Aries is a Choleric sign, and its will to action makes it prone to anger and stress, which deplete and weaken the adrenal glands. The sign is energetic, sharp-eyed, cheerful, and alert, but may become irritable and have a restless tendency to keep going until burnout. This can lead to eyestrain and poor vision as the health of the eyes is dependent on the strength of the adrenals. The preference for stimulants like chili pepper, caffeine, and their attraction to the Sun can overstimulate the adrenal glands, leading them to seek cooling substances like icy drinks, fruits, and seafood.

Libra: Libra, the Sanguine Air sign that rules the kidneys and lower back, is a counterbalance to Aries. The kidneys and genitourinary tract are only as strong and healthy as the adrenal glands, which are their energetic support. Underlying adrenal weakness and exhaustion weakens the kidneys and genitourinary system, leading to urinary debility, urinary tract infections, inflammation or irritation, uremia, and gout. Since male sexual function is also dependent on the strength and health of the adrenal glands, problems may arise in this area.

Aries-Libra Dynamic: Kidneys, adrenals, eyes, head and cranium, low back, lumbar spine, bladder, genitourinary system (especially male), hips and loins. Aries represents personal power, autonomy, honesty, and decisiveness, often leaning towards individualism and assertiveness. Libra, on the other hand, emphasizes cooperation, diplomacy, compromise, and social harmony. While Aries is direct and often acts alone, Libra seeks mutual choice and operates through consensus. This represents a struggle between competition and cooperation, selfhood and partnership, war and peace, doing and being. Finding balance is needed for acid/alkaline balance, as Aries tends to run acidic, and for hormonal balance, where Aries tends toward excess testosterone. The tension between these two forces may cause a lot of frustration and aggravation, particularly in males, manifesting as irritation or inflammation of the genitourinary tract.

Healing and Relief

Diet: Paleo; reduce caffeine, sugars and sweeteners, gluten, starch, white flour, processed foods, and hydrogenated oils.

Nutritional Supplements: Ionic Magnesium, B Vitamins, Omega-3 Fatty Acids, Vitamin C, Zinc, Probiotics, L-Theanine

Herbal Adaptogens: Ashwagandha, Rhodiola Rosea, Holy Basil, Licorice Root, Siberian Ginseng, He Shou Wu

Lifestyle Considerations: Address societal pressure to perform, lack of self-care, and the conflict in real life. Regular exercise of varied intensity. Practice meditation, mindfulness, Tai Chi, Qigong. Express creatively and spend time in nature. Align sleep schedule with circadian rhythm to nourish yin. Hydrate more and add salt to water. Avoid various toxins like dioxin or insecticides which contribute to adrenal malfunction. Spend more time in the sun each day. Don't sit for too long. Try wearing a haramaki, stretch cotton (for summer) or stretch wool (for winter).

These are research notes from the work of Daniel Keown, Michel Odoul, Michael Tierra, Lesley Tierra, Johan Boshwinkel, David Osborn, Judith Hill, Eileen Nauman, Björn Eybl, Caroline Markolin, Deb Shapiro, and Jody Smith.

[meowslim101]

Posting for a friend :

“Hello everyone,

My name is Isabel and I am a mother of two children. At just 22 years old, I am facing immense health challenges that threaten my ability to care for them and myself. Recently, I received a diagnosis that turned my life upside down: Ehlers-Danlos Syndrome (EDS), a rare and complex disease that affects my connective tissues, causing debilitating symptoms. Alongside EDS, I battle with kidney issues, including frequent stone formation and cysts, which have resulted in constant infections. Additionally, I suffer from two lesser-known conditions that significantly impact my daily life.

Gastroparesis is one of these conditions. It is a disorder that affects the normal and spontaneous movement of the muscles in my stomach, causing severe discomfort, malnutrition, and a series of other complications. Postural Orthostatic Tachycardia Syndrome (PoTS) is another challenge I face. This condition affects the autonomic nervous system, causing an abnormal increase in heart rate when moving from a lying down to a standing position. The symptoms include dizziness, fainting, fatigue, and difficulty regulating blood pressure, further adding to the complexity of my health problems.

Every day is a battle against my own body. Seizures and difficulty walking have become my new norm in the last two weeks, and for these symptoms, I still have no answer.

The challenges I face are not just medical; they permeate every aspect of my life. A restrictive diet, constant medical appointments, and the need for a new functional wheelchair are just a few of the urgent needs I must address to maintain normalcy for myself and my children, who are my greatest motivation to continue.

I am turning to you, kind-hearted individuals, for support. Your generosity can make an immense difference in our lives. With your help, I can afford the medical care, equipment, and assistance necessary to navigate these tumultuous times.

Your donations will directly contribute to:

- **Medical Expenses:** Covering the costs of ongoing treatments and medications.

- **Mobility Aids:** Acquiring a new wheelchair or adapting my current one, which will enable me to move with greater ease and independence, ensuring I can continue to care for my children.

- **Nutritional Support:** Meeting the expenses of a specialized diet and necessary nutritional supplements to combat malnutrition caused by gastroparesis. Currently, I am extremely malnourished and underweight, which delays my overall improvement.

- **Childcare Assistance:** Allowing me to ensure reliable childcare so I can focus on spending time with my children without compromising my health.

No donation is too small, and every contribution brings us closer to a brighter and healthier future. Your support not only provides practical assistance but also offers hope and comfort during this difficult time.

From the bottom of my heart, I express my deepest gratitude for considering my appeal.

Thank you for your kindness, compassion, and generosity.

Here are the details of my Wise USD account.

Account holder: Vinícius Gomes Tanure

ACH and wire routing number: 026073150

Account number: 8314526911

Account type: Checking

Wise address: 30 W. 26th Street, Sixth Floor

New York, NY 10010

United States “

I can confirm the veracity of her claim please help her she really needs it.

[scotianostra]

Happy Birthday former Snooker World Champion Graeme Dott, born May 12th 1977 in Larkhall.

Dott won the UK Under-19 Championship in 1992 and Scottish Amateur Championship in 1993 and turned. professional in 1994. He slowly climbed the rankings, reaching the top sixteen in 2001.

Graham has won two ranking titles, the 2006 World Snooker Championship and the 2007 China Open, and was runner-up in the World Championships of 2004 and 2010. His highest ranking was number 2 in the world in 2007, but a subsequent episode of clinical depression seriously affected his form, causing him to drop to number 28 for the 2009/2010 season. He then recovered his form, regained his top-16 ranking, and reached a third World Championship final. In 2011.

In his 2011 autobiography Frame of Mind, Dott describes his childhood growing up in the run-down Easterhouse estate in Glasgow. As a boy, he developed a strong relationship with Alex Lambie, a snooker club owner from Larkhall in Lanarkshire, who mentored Dott from the age of 12 and went on to manage his professional career. Dott has described Lambie as a “second father” to him .In 1997, Dott began a relationship with Lambie’s 16-year-old daughter Elaine. The couple married in 2003 and had their first child, a son named Lewis, in 2004. In January 2006, Alex Lambie was diagnosed with terminal kidney cancer. Although he lived to see Dott win the World Championship in May of that year, he died on 16 December 2006, while Dott was playing in the 2006 UK Championship.

Weeks afterwards, Elaine, who was pregnant, had a cancer scare when doctors discovered potentially cancerous cysts on her ovaries. Although she turned out not to have cancer, she suffered a miscarriage while Dott was playing in the 2007 Masters. After these experiences, Dott entered a severe depression, which affected his commitment to practice and his performance in matches .He lost 15 professional matches in a row and slid down the rankings, dropping out of the top 16.Dott and his wife had a second child, a daughter Lucy, born in November 2008.

Last month lifted the lid on his struggles away from the table.

"It’s been a terrible season for me. The results haven’t been good enough, I know that. I’ve had some things going on off the table, which I’d rather not divulge. But it’s been tough, it has been hard if I’m honest.

Dott was knocked out in the qualifying round of the recent World Championship 10-5 by Welshamn Jackson Page.

[yanderemommabean]

Were you tested for kidney stones? Or have any history of it? They hurt like a biiiiiiitch and can cause a lot of bleeding while urinating. I’m not doctor, but do have quite a few. Some of the worst pains I’ve ever experienced.

I was! They saw no kidney stones, no swollen bladder walls, no cysts, nothing even insinuating an infection so we’re worried it could be something they’ll have to do deeper tests for

I don’t have a history of kidney stones but I am a type one diabetic, and kidney damage can occur with uncontrolled or bad blood sugars so I’m worried that could be the case.

Either way, I’m hoping to get an answer soon, I think today after I rest a bit more ill see about a urologist or a kidney doctor, it’s the only thing I can think of

-Mommabean (Hi bean! :3 )

[sarajcsmicasereports]

Retroperitoneal cystic Lymphangioma in adulthood – A case report by Urânia Fernandes in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Background: Cystic lymphangioma is a benign lymphatic system malformation, rarely diagnosed in adulthood. Head and neck are commonly affected and abdominal location is rare. Its presentation ranges from asymptomatic to severe symptoms (bleeding, rupture, infection, volvulus). The diagnosis is often made after surgery and confirmed by histopathological examination.

Methods: A case report of a 57-year healthy female patient presented with abdominal pain, postprandial fullness, sporadic vomit and imaging revealing a 9-centimeter retroperitoneal cyst is described.

Results: She was submitted to surgery and histology confirmed the diagnosis of cystic lymphangioma.

Conclusion: Retroperitoneal cystic lymphangioma is a very rare disease. Preoperative diagnosis is challenging and definitive treatment is surgical resection in symptomatic patients.

Keywords: Abdominal neoplasms; cystic lymphangioma; case reports

Background

Cystic lymphangioma is a benign malformation of the lymphatic system. Congenital lesions occur when primary lymphatic cysts fail to converge with the main lymphatic system.[1, 2] Acquired lesions are caused by obstruction between lymphatic and venous systems due to inflammation, trauma or degeneration.[3] Head and neck are more commonly affected (75%), followed by axillae (20%) and abdomen (5%).[4] Amongst  abdominal cases, mesentery is the main location but the gastrointestinal tract, spleen, liver, kidneys and adrenals may also be affected.[3] Retroperitoneal location is even rarer (1%).[4] Most of cystic lymphangiomas (60%) are diagnosed in children less than 5 years of age.[3] To the best of our knowledge, only about 200 cases have been described in adults so far, but the real prevalence may be underestimated due to nonspecific clinical presentation and difficult recognition of the disease.[2, 4] Patients with slowly growing lesions, mainly in retroperitoneal location, may present an asymptomatic palpable mass in the abdomen.

Abdominal pain is the commonest symptom in bigger tumors, but abdominal distension and constipation can also occur. Uncommon complications that may cause acute abdomen situations are intracystic or gastrointestinal bleeding, infection, cystic rupture and volvulus.[3] This report aimed to present the case of a retroperitoneal cystic lymphangioma in adulthood and a brief review of the literature.

Case report

A 57-year healthy female patient presented to the clinic with a nonradiated, moderate and constant epigastric abdominal pain. She referred also postprandial fullness and sporadic vomit, but denied weight loss and gastrointestinal bleeding. Physical examination was innocent. Laboratory work-up (including blood count, liver and pancreatic enzymes and carcinoembryonic antigen) was unremarkable, as well as esophagogastroduodenoscopy. Abdominal ultrasonography revealed a 9-centimeter cystic lesion, located inferiorly to the left kidney and dislocating the aorta. Computed tomography (CT) excluded renal and aortic invasion and suggested a possible relation with distal duodenum (Figure 1). Patient was submitted to an uneventful open, anterior and total resection of the cystic lesion, which did not invade adjacent structures (Figure 2 and 3). Patient did well in the postoperative period and was discharged in day 4. Histology revealed a cystic lesion with thin and translucent wall with 9.5-centimeter of maximum diameter. Immunohistochemical study was compatible with cystic lymphangioma with endothelium staining for podoplanin (D2-40) but not for calretinin (Figure 4 and 5). Patient remains asymptomatic and with no evidence of recurrence during 42 months of follow-up.

Discussion

Preoperative diagnosis of retroperitoneal lymphangioma is difficult and it is frequently an incidental radiological finding. Ultrasound often shows a well limited, simple or multilocular cyst with thin septation and clear fluid or hyperechogenic content if bleeding or calcifications exist. CT allows a better assessment of the relation with adjacent organs. Cystic content is better characterized by Magnetic Resonance Imaging as well as perivascular extension of the lesion.[2, 3] This patient declined Magnetic Resonance because of “claustrophobia sensation” and diagnosis was not possible preoperatively, despite ultrasound and CT.

Differential diagnosis of abdominal cystic lymphangioma include lymphoma, cystic mesothelioma, teratoma, sarcoma, lymphangioma, adenoma, hematoma, abscess, duplication cyst, ovarian cyst, postoperative lymphocele, lymphadenopathy, ovarian or gastric cystic metastases. In spite of excellent imaging tools, diagnosis of cystic retroperitoneal lymphangioma is often made after surgery only and after confirmation by histopathological examination. Diagnostic criteria are dilated lymphatics lined with flat endothelium rich in lymphoid tissue with no atypical cells.[3, 4] Immunohistochemically, cystic lymphangioma endothelial cells express factor VIII-related antigen, CD31 and CD34, but negative staining with cytokeratin [1, 5], as observed in this patient.

Asymptomatic patients can be proposed to conservative treatment reserving surgery for symptomatic patients, considering the absence of final diagnosis. Percutaneous drainage or aspiration with or without injection of sclerosant agents present a high rate of recurrence and must be reserved for patients not fit for surgery.[2, 3] Surgery (open/laparoscopic, retroperitoneal/anterior) is the definitive treatment and it may be limited by tumor location and relation with adjacent structures. Lymphostasis must be meticulous to avoid complications as lymphocele or chylous ascites. Recurrence can achieve 17-40% depending on total or partial resection.[2, 3] In the present case, the presence of symptoms, probably due to extrinsic compression of duodenum, the lack of diagnosis, and the size of the lesion, a laparotomy was proposed, which allowed the complete resection of the lesion through an anterior approach.

Conclusion

Retroperitoneal cystic lymphangioma is a benign disease, very rare in adults, that must be considered as a differential diagnosis of intra-abdominal cystic lesions. Preoperative diagnosis is challenging and in symptomatic patients definitive treatment is surgical resection.

Main novel aspects

We present a rare disease, even rarer in an adult, and in an uncommon location

[girl-unnoticed911]

Woww hey.

Sorry I’ve been quiet.

I literally spent 5.5 hrs in the ER last night, I thought I had an ovarian cyst or kidney stones or a uti but turn out I have EA{ a rare condition}

Apparently lining your intestines is little fat pockets, and I guess one twisted and strangled itself and now I’m in severe pain cause it’s like…. Well the blood supply is cut off so it’s dying. So basically I’m losing fat, so basically I’m thin now { I wish} anyways

K thx bye

[newhologram]

Okay, baby’s first surgery. Had to be at the hospital at 5:30am. They did more pre-op labs and EKG just to be extra safe. Both arms’ veins aren’t in great shape so they didn’t even try the IV there. They couldn’t get my left hand but were able to get my right (ow!). Blood rushed out all over my hand, oops. Techs kept asking if I had kids, presumably because I was about to get sterilized. Every time I told them I have 4 cats, they laughed. They all took good care of me and my main nurse remembered me from my 3 day flare-up stay last year. The anesthesiologist asked about the fibromyalgia. He understood that it makes surgery a lot more painful (plus slower healing and can cause a flare) so he made sure to have the right drugs ready for me. He even asked if I have a pain doctor so I explained the whole ordeal I went through getting and losing mine, how I can’t get one that’ll give me the right meds. He shook his head and expressed frustration at how hard it is for patients to get adequate pain management. 100%, dude. Then I finally got to meet the surgeon. Been going to his OBGYN office for a few years but never got to interact with him. We went over the procedure and he warned me that there’s a chance the endometriosis might make it hard for him to even access my uterine tubes. I let him know about my past MRI findings (lesion on bladder, multiple on colon, kidneys backed up, enlarged pelvic lymph nodes, fatty liver) so he kept that in mind. When I woke up, it was instant shaking and crying. The pain was so bad it had my teeth chattering, the same kind of terrible cramping I get from the endo. Someone goofed and had already taken out my IV before I woke up so they had to put it back into my sore hand to give me a dose of hydromorphone. One wasn’t enough though, I couldn’t settle down, so they gave me another. Thankfully the pain’s been manageable since I got home, I’m mostly sore and tender at the incisions. So tiny! Other than that, my throat and mouth are raw from the breathing tube and I'm definitely feeling the gas pain referring to my shoulders. I was hoping to talk to the surgeon after to hear how it went but he was already gone💀Bruh. No info about whether there were any cysts or lesions. I have to wait 2 weeks for a follow up. I know we have to wait for pathology anyway but I wanted to hear what he saw in there. Hope I get to see pics at the follow up at least. :\ I was also sent home without antibiotics or painkillers, which I think must be a mistake? I was told at my consult a year ago I’d be given stuff. So gotta call them again tomorrow. Luckily I still have some bentyl so I took that as soon as I got home. They cleared me for cannabis and whatever else I need right away. Going to see about getting another vitamin IV infusion soon. My friend is going to stay with me during the day to help me out this first week but I’m still taking extended time off to focus on rest and healing. So far my body isn’t freaking out as bad as I thought it would but we’ll see. Relieved to officially be permanently sterilized. ❌🤰 Thanks for all the messages! I’ll keep everyone updated when I learn more.

[lovejaime]

Beautiful

Scar appreciation with F/O's

feat. Kaigaku / Itto / Kai / Macaque / Vaas Montenegro

Warnings; talk about Scars/Description of Organ-loss/Organ-Selling mentioned/Cussing/talk about abuse?

"You've never told me you have that one." Jaime perked up at the sound of his lovers voice, taking down the towel they used to dry their hair. "Hm? What do you mean?"

Kaigaku scowled, walking over and poking his husbands thigh, "This. The scar. Where did this one come from?!" A soft growl clearly audible in his tone but Jaime simple chuckled, looking down at herself and at what he pointed at. "Oh that little thing? A burn wound, 'is all."

"Burn wound? When did you ever get close to fire? Who allowed you near fire." The demon sounded quite sarcastic yet serious, no one should allow Jaime near fire, "Oh ha ha, it wasn't genuine fire... I had some liquid glue laying around and sat on it, it burned through my pants and then my skin."

Kaigaku blinked.

Jaime blinked.

"You are an idiot."

"Whoa! How did you get that?!" Itto exclaimed, instantly grabbing the smaller man and lifting him up, "I-Itto what the fuck-" The oni shushed his boyfriend, "That's such a huge scar! That's so pretty! How'd you get it?! ...is that insensitive?"

Jaime hit her lover on the head and landed on her feet as he dropped her. "A little, but I do not mind..." He turned to Itto, who was childishly rubbing his head with both hands, "And I got it because I am missing a kidney."

"BEANS?!-" "THE ORGAN YOU DUMBASS-"

"Oh... that makes more sense..Wait since when?"

Jaime sighed, and turned their head to the side. "Since birth technically." He turned back to the oni, "It didn't function... I had a cysts and it drained my kidney of liquid." Itto blinked, titling his head slowly with an uneasy smile, "A..what?" The shorter man sighed, "It's a medical term, Shinobu can explain it later, but anyway. After I was born they tried saving it but to no avail. They took it out and I was left with only one kidney and this scar."

Itto smiled and beamed, hugging the short man. "You're so strong! Your own body said nuh uh to that thing!"

"And this one?"

"Polycystic kidney.... This one?"

"Wukong... Here?"

"Chemical burn... This one?"

"Training... this?"

"Metal gate."

"Ah...Wait what?" Macaque looked up at Jaime from his squatting position, "A metal gate? Did you run into it?" The monkey chuckled. "No- My brother slammed it into my knee and boom! Scar." Jaime said, partially pouting and glaring at her lover. "Aha... So your family just hates you.. most of these are family related." He laid back, pulling Macaque with him onto the bed. "Maybe they did? I wouldn't know and wouldn't care anymore."

He got a hum as an answer, "Well.. no matter what happends, how many scars I give you? Know I love you."

"...I love you too, Mr. Hot Topic."

"So wait- You got your kidney removed... and didn't sell it?" Jaime turned to Vaas with a confused glare, "I was twenty DAYS old."

The pirate hummed, "I would have sold it anyway. I mean you can never have enough buisness can you?" He shrugs, trailing dirty fingers down his partners back. "'sides I thank your body."

"You fucking what-" "Scars look fucking hot! Why do you think I get so many chicks! Well.. before you." Jaime sighs, but takes Vaas face in her hands, "Because you're pretty..." She mumbles trailing kisses up the scar adoring his skull. "...hmm ...wait no! I'm not pretty! I am hot, sexy, desirable! You name it, I am it."

The smaller man just hummed and interlaced their fingers, Vaas noting tiny scars littering his hands similar to his own.

"I got those from vacation."

"I got mine from murder."

"I still do not understand why you refused."

"These scars have meaning to me, Kai."

Jaime rubs his temples after entering their shared bedroom, "You keep that scar from the league, don't you?" The masked man sighs, taking off said mask before nodding, "I suppose I get it... I did not mean to cause you a migraine."

"It's fine... I had one at the party already, it just hasn't left yet." The smaller man smiles lopsided, sitting down on the bed and watched his boyfriend walk over. "I'll bring you some water and your meds, love." Kai says, leaning down to kiss the scar on Jaime's forehead.

"I do like your scars."

[kimmikreates]

W.T.F

Don't you just love it when you have to prove you're still disabled and that incurable things haven't magically cured over night🙄.

I deal with chronic pain 24/7 because of a kidney disease I inherited off my dad's side of the family, Polycystic kidney disease is something that has no cure and like other diseases affects people differently, for me thankfully for now my kidneys work just fine but are riddled inside and out with cysts which causes me crippling pain all day everyday, because of the medical neglect I received at the start of the pain 8 years ago, I now have other issues, and lets not get start on the mental lol.

Now I have to prove to PIP, AGAIN, that I have not magically gotten better, I understand people lie but they have all my medical proof off good doctors and hospitals.

Sorry just needed to get this off my chest so to speak.

[dots3a]

I had a large ovarian cyst burst which was pretty horrific but as that has worked itself out, some of my daily symptoms have changed and that's been a nice relief, although, if I'm being honest, now that I seem to have found what "normal" is for now, I'm a little disappointed the cyst wasn't magically the cause of more things, ha.

(I still do run-on sentences and that would really upset all of my English teachers but they all disliked me on sight anyway so I guess that's just encouragement to do it even more.)

All that is to say is I have hopes that I am not going to drop dead in the next few weeks, although it sure felt like it as the cyst was rupturing and directly after it did.

As I go through all the pain events and medical troubles that I am, I am constantly stopping to think about how I am not unique and there are people trapped in tents in Gaza experiencing this without access to any modern comforts or stability, that there are people experiencing things like this laboring to dig cobalt in conditions that are indescribable under threat of violence while actively starving.

What could we do for each other if our focus were not continuous war for continuous consumption? In horrific conditions humans have managed to create solutions to century-long problems, beautiful art, systems of human connection that could only be achieved by magic in the imaginations of our ancestors. So what could we do if we stopped designing bombs and started solving problems?

Really what could we do if we stopped preventing people from implementing solutions proven by their ancestors and their cultural knowledge and experience to work? Where would their ideas take us? What could be built on the foundations of traditional ecological knowledge instead of the shifting ground of corpses necessary to uplift white supremacy and capitalist empires?

Is this what everyone in chronic pain thinks about throughout the course of a flare? I am passing a kidney stone today as my body continues to heal the aforementioned cyst and its collateral damage, and all I can think about is how, we could do better. And we know that. And we know we should. So can we just. Do better? Literally no more children have to die for the sake of extractivism. We just all have to collectively decide to be done letting that happen.

[leanstooneside]

Confess and be hanged

Kathy Griffin's elbow (Other congenital malformations of hair)

Dave Navarro's forehead (Subluxation of lens, unspecified eye)

Jessica Biel's eye (Other hammer toe(s) (acquired), left foot)

James Franco's fist (Solitary bone cyst, left ulna and radius)

Simon Doonan's thigh (Malignant neoplasm of left orbit)

Carson Palmer's head (School (private) (public) (state) as the place of occurrence of the external cause)

Pitbull's eye (Chondrolysis, hip)

Kevin Federline's eye (Osseous and subluxation stenosis of intervertebral foramina of abdomen and other regions)

Tate Donovan's thigh (Chronic myeloid leukemia, BCR/ABL-positive, in remission)

Ryan Gosling's arm (Pedal cycle passenger injured in collision with fixed or stationary object in traffic accident)

Sean Combs's neck (Mixed pediculosis and phthiriasis)

Katharine McPhee's chin (Calcific tendinitis, right lower leg)

Katrina Bowden's back (Kernicterus, unspecified)

Balthazar Getty's hair (Toxic effect of contact with other venomous marine animals, assault)

Elizabeth Taylor's ear (Displaced trimalleolar fracture of left lower leg)

Kelsey Grammer's eye (Major laceration of left kidney)

Kerry Diamond's neck (Scrotal transposition)

Jason Lee's wrist (Papyraceous fetus, first trimester)

Josh Holloway's upper arm (Activity, swimming)

Desiree Hartsock's ear (Swimmer's ear, left ear)

Jared Leto's eyebrow (Pathological fracture, right hand)

Rumer Willis's eye (Lesion of plantar nerve)

Ramona Singer's arm (Other specified injury of intrinsic muscle and tendon at ankle and foot level, left foot)

Emily VanCamp's calf (Nicotine dependence, cigarettes, with withdrawal)

Jane Krakowski's fist (Other unilateral secondary osteoarthritis of hip)

Vince Vaughn's lower leg (Unspecified complication following infusion and therapeutic injection)

Olivia Palermo's shoulder (Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity)

Russell Brand's wrist (Malignant neoplasm of left orbit)

Jackson Rathbone's belly (Primary cyst of pars plana, unspecified eye)

Garth Brooks's eyebrow (Nondisplaced fracture of anterior process of left calcaneus)

Adrian Grenier's nose (Military operations involving flamethrower, civilian)

Jesse Tyler Ferguson's hair (Retinal hemorrhage, left eye)

Martin Lawrence's ankle (Hemorrhagic disease of newborn)

Spencer Pratt's neck (Perforated corneal ulcer, unspecified eye)

Ashley Hebert's bottom (Major laceration of left kidney)

Hugh Jackman's bottom (Laceration of radial artery at wrist and hand level of left arm)

Paris Hilton's chin (Preterm labor without delivery, unspecified trimester)

Simon Cowell's arm (Contusion of small intestine)

Tila Tequila's cheek (Other superficial bite of hand of unspecified hand)

Jennifer Grey's toe (Injury of quadriceps muscle, fascia and tendon)

Brody Jenner's hip (Laceration without foreign body of back wall of thorax without penetration into thoracic cavity)

Ciara's hair (Diffuse cystic mastopathy of unspecified breast)

Molly Sims's chin (Urticaria due to cold and heat)

Luke Bryan's buttocks (Urticaria due to cold and heat)

Richard Gere's breast (Endometriosis of pelvic peritoneum)

Jensen Ackles's calf (Other ulcerative colitis with intestinal obstruction)

Teresa Giudice's head (Laceration of extensor muscle, fascia and tendon of left middle finger at forearm level)

Stavros Niarchos III's ear (Striatonigral degeneration)

Winona Ryder's thumb (Acute embolism and thrombosis of right femoral vein)

Scott Disick's forearm (Extranodal NK/T-cell lymphoma, nasal type)

[starry-hughes]

What’s the story story star

I’m so sorry you are going through this

story about my pcos journey

i was 11 years old and it was december. i was in sixth grade and at the end of the day, i wasn’t feeling well and i clearly remember laying on the bench waiting for my bus and clutching my side. i called my mom but she was in a meeting so i sucked it up and rode the bus. it was like the beginning of december.

my parents were convinced i was trying to get out of homework and play hooky from school because i hated math class that much. i wasn’t feeling well and skipped dinner and fell asleep until around midnight. i woke up in pain and my mom was actually in the room checking on me and i wasn’t throwing up or had a fever so we waited until the morning. i went to urgent care. they ruled out my appendix bursting and then did an ultrasound.

i had one cyst on kidney and two on my ovaries. they referred me to a pediatrician for the kidney cyst. went there and pediatrician said the ovary ones were more concerning so went to the gynecologist. i was put on bed rest and only went to school for like two days a week up until christmas break.

by february i was back at school but excused from gym class and wasn’t allowed to do extreme exercise. the doctors cleared me to go on a trip for a long weekend and we drove to texas. on the drive home, i started getting sick. i was sobbing in pain and we went to the emergency room. i filled like four vomit bags it was bad.

ultrasound showed that my cyst was so big it caused my fallopian tube to twist and cut off circulation to my reproductive organs. i couldn’t walk, i was thrashing in the bed. i don’t really remember how or when i got home but then i had surgery a week later. they removed both ovarian cysts and i lost 8 pounds. now i have like a five inch scar. so this all happened when i was 11, i was told i was basically infertile and they were lucky my whole ovaries weren’t removed during the surgery.

ovarian cysts are pretty normal and harmless. my doctor basically described it to me as like other people’s body’s let them get rid of the cysts like normal and harmlessly, my body doesn’t know how to remove them. so every couple of years, i get really bad cysts. i get checked for them every time i am experiencing those pains again.

my sister has the same things that go on. and the other females on my mom’s side have pcos and endometriosis.

[scotianostra]

Happy Birthday former Snooker World Champion Graeme Dott, born May 12th 1977 in Larkhall.

Dott won the UK Under-19 Championship in 1992 and Scottish Amateur Championship in 1993 and turned. professional in 1994. He slowly climbed the rankings, reaching the top sixteen in 2001.

Graham has won two ranking titles, the 2006 World Snooker Championship and the 2007 China Open, and was runner-up in the World Championships of 2004 and 2010. His highest ranking was number 2 in the world in 2007, but a subsequent episode of clinical depression seriously affected his form, causing him to drop to number 28 for the 2009/2010 season. He then recovered his form, regained his top-16 ranking, and reached a third World Championship final. In 2011.

In his 2011 autobiography Frame of Mind, Dott describes his childhood growing up in the run-down Easterhouse estate in Glasgow. As a boy, he developed a strong relationship with Alex Lambie, a snooker club owner from Larkhall in Lanarkshire, who mentored Dott from the age of 12 and went on to manage his professional career. Dott has described Lambie as a “second father” to him .In 1997, Dott began a relationship with Lambie’s 16-year-old daughter Elaine. The couple married in 2003 and had their first child, a son named Lewis, in 2004. In January 2006, Alex Lambie was diagnosed with terminal kidney cancer. Although he lived to see Dott win the World Championship in May of that year, he died on 16 December 2006, while Dott was playing in the 2006 UK Championship.

Weeks afterwards, Elaine, who was pregnant, had a cancer scare when doctors discovered potentially cancerous cysts on her ovaries. Although she turned out not to have cancer, she suffered a miscarriage while Dott was playing in the 2007 Masters. After these experiences, Dott entered a severe depression, which affected his commitment to practice and his performance in matches .He lost 15 professional matches in a row and slid down the rankings, dropping out of the top 16.Dott and his wife had a second child, a daughter Lucy, born in November 2008.

Graeme had a disappointing season and is currently 41st in the world rankings, according to the snooker web page Cue Tracker his prize money for the year is currently £42,900 I suppose it's not too bad a wage to take home?