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CURRENT ISSUEMINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,536

Frequency: Bi-Monthly

ISSN 0393-2249

Online ISSN 1827-1758

 

Minerva Urologica e Nefrologica 2002 June;54(2):131-3

    CLINICAL CASES

Retroperitoneal lipoma. Unusual presentation with detrusor instability

Forte F., Maturo G., Catania A. *, Sorrenti S. *, Gemma D. * *, Foti N. * , Vanni B. *, Virgili G., Vespasiani G., De Antoni E. *

From the Department of Urology University of Rome “Tor Vergata” - Rome
*Department of Surgical Sciences
**Section of Medical Oncology Department of Experimental Medicine University of Rome “La Sapienza” - Rome

Retroperitoneal lip­o­mas are a het­er­o­ge­ne­ous ­group of me­sen­chy­mal tu­mors. They are usu­al­ly ­large and oc­cur ­most fre­quent­ly in the ret­ro­per­i­to­neal, per­i­neal and pel­vic re­gions. Lipomas ­grow slow­ly sur­round­ing the ret­ro­per­i­to­neal and pel­vic or­gans, ­with a dis­place­ment of bow­el and vas­cu­lar ax­is. A ­case of a 61-­year-old ­male pa­tient ­which re­ferred uri­nary fre­quen­cy, ur­gen­cy and noc­tu­ria is pre­sent­ed. Urodynamics ev­i­denced a de­tru­sor in­stabil­ity in a low ca­pac­ity blad­der. CT ­scan dem­on­strat­ed a blad­der ­dome com­pres­sion due to a ­huge ret­ro­per­i­to­neal ­mass ex­tend­ing ­from the ­right he­pat­ic ­lobe to the hy­po­gas­tric re­gion and the ­right ­thigh. Surgical com­plete re­sec­tion was per­formed: his­tol­o­gy dem­on­strat­ed a lip­o­ma ­with ar­e­as of ­well dif­fer­en­tiat­ed myx­oid de­gen­er­a­tion. After sur­gery the ir­ri­ta­tive uri­nary symp­toms dis­ap­peared. This is the ­first ­case de­scribed in lit­er­a­ture of de­tru­sor in­stabil­ity due to blad­der com­pres­sion by ret­ro­per­i­to­neal lip­o­ma.

language: English


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