Multiple cystic lesions in the abdominopelvic cavity one and a half years after resection of presacral neurogenic tumor: tumor recurrence or other?

Authors

  • Umar Zeb Khan Department of General Surgery, The Third Xiangya Hospital of Central South University, Changsha, China
  • Matiullah Masroor Department of General Surgery, The Second Xiangya Hospital of Central South University, Changsha, China
  • Hai Liu Department of General Surgery, The Third Xiangya Hospital of Central South University, Changsha, China

DOI:

https://doi.org/10.18203/2349-2902.isj20205379

Keywords:

Urinoma, Neurogenic neoplasia, Presacral surgery, Retroperitoneal surgery, Spontaneous rupture of ureter

Abstract

Cystic lesions of abdominopelvic cavity include a variety of pathologies and diagnosis can sometimes be challenging. Urinoma can be caused by iatrogenic injury, spontaneous rupture of ureters or by various causes of ureteral obstruction. It needs to be differentiated from abdominopelvic cystic diseases including tumors that can undergo cystic degeneration. Here we report a case of a 41 years old female underwent a presacral neurogenic tumor resection at a local hospital 5 years ago. The tumor recurred three and a half years after the first surgery and removed at another hospital. She experienced abdominal distension and difficulty in urination from the last 2 months and was diagnosed as having a recurrence of tumor once again at both hospitals on separate CT scans. They believed that the tumor was too large and encroaching on adjacent organs to be surgically resected, she was finally diagnosed as infected urinoma during surgery in our hospital. Even though spontaneous rupture of ureters and urinoma formation is a rare disease but it should be considered as a main differential diagnosis of recurrence of neurogenic tumors especially in post abdominopelvic surgeries patient.

Author Biographies

Umar Zeb Khan, Department of General Surgery, The Third Xiangya Hospital of Central South University, Changsha, China

Department of General Surgery, The Third Xiangya Hospital of Central South University, 138 Tongzipo Rd., Changsha 410013, China,

Matiullah Masroor, Department of General Surgery, The Second Xiangya Hospital of Central South University, Changsha, China

Department of General Surgery, The Second Xiangya Hospital of Central South University, 139 Renmin Middle Rd, Changsha 410011, China

 

Hai Liu, Department of General Surgery, The Third Xiangya Hospital of Central South University, Changsha, China

Department of General Surgery, The Third Xiangya Hospital of Central South University, 138 Tongzipo Rd., Changsha 410013, China,

References

Goldwasser J, Wahdat R, Espinosa J, Lucerna A. Urinoma: prompt diagnosis and treatment can prevent abscess formation, hydronephrosis, and a progressive loss of renal function. Case Rep Emerg Med. 2018;2018:5456738.

Yang DM, Jung DH, Kim H, Kang JH, Kim SH, Kim JH, et al. Retroperitoneal cystic masses: ct, clinical, and pathologic findings and literature review. Radio Graphics. 2004; 24:1353-65.

Yanaral F, Ozkan A, Cilesiz NC, Nuhoglu B. Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature. Urol Ann. 2017;9(3):293-5.

Stravodimos K, Adamakis I, Koutalellis G, Koritsiadis G, Grigoriou I, Screpetis K, et al. Spontaneous perforation of the ureter: clinical presentation and endourologic management. J Endourol. 2008;22(3):479-84.

Aguilera A, Rivas JG, Franco LMQ, Quesada-Olarte J, Carrion DM, Martinez-Pineiro L. Ureteral injury during abdominal and pelvic surgery: immediate versus deferred repair. Cent European J Urol. 2019;72(3):312-8.

Gild P, Kluth LA, Vetterlein MW, Engel O, Chun FKH, Fisch M. Adult iatrogenic ureteral injury and stricture incidence and treatment strategies. Asian J Urol. 2018;5:101-6

Harada TL, Nagao G, Aoyagi T, Kuroda I, Tokuyama N, Takahashi M, et al. Giant retroperitoneal schwannoma in a 52-year-old man. Radiol Case Rep. 2018;13(4):810-4.

Ogose A, Kawashima H, Hatano H, Ariizumi T, Sasaki T, Yamagishi T, et al. The natural history of incidental retroperitoneal schwannomas. PLoS One. 2019;14(4):e0215336.

Morotti A, Busso M, Barozzino CM, Cinardo P, Angelino V, Familiari U, et al. Detection and management of retroperitoneal cystic lesions: A case report and review of the literature. Oncol Lett. 2017;14(2):1602-8.

Eken A, Akbas T, Arpaci T. Spontaneous rupture of the ureter. Singap Med J. 2015;56:29-31.

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Published

2020-11-27

Issue

Section

Case Reports