Neurofibroma invading into urinary bladder presenting with symptoms of obstructed defecation and a large perineal
Duminda Subasinghe, Chathuranga Tisara Keppetiyagama, Chandu De Silva
1The National Hospital of Sri Lanka, University Surgical Unit, Colombo, Sri Lanka. samarasekera58@yahoo.co.uk.
Background:
Pelvic floor hernias pose a diagnostic and a treatment challange. Neurofibromatosis is a rare systemic disease, and urinary tract involvement is rare.
Case Presentation:
Here we report a case of a 54-year-old female with multiple neurofibromatosis who presented with features of obstructed defecation and was found to have a large perineal hernia. At surgery, we found an unusual herniation of a large neuropathic bladder and rectum through a perineal defect. She underwent reduction cystoplasty and repair of the pelvic floor using a prolene mesh. Subsequent histopathological examination confirmed a large neurofibroma infiltrating the urinary bladder.
Conclusion:
Neurofibromatosis of the bladder is rare it should be considered as a differential diagnosis in patients presenting with symptoms of obstructed defecation.
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