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[A case of abdominal desmoid causing urinary tract obstruction]
A Uchida1, K Hayakawa, M Ohashi
1Department of Urology, Tokyo Dental College Ichikawa General Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1995
Summary
A large abdominal desmoid tumor caused pelvic mass and kidney issues in a 62-year-old male. Surgical resection was successful, with histopathology confirming the desmoid tumor diagnosis.
Area of Science:
- Oncology
- Urology
- Pathology
Background:
- Desmoid tumors are rare, locally aggressive fibrotic neoplasms.
- Pelvic desmoid tumors can present with significant mass effect on adjacent organs.
Observation:
- A 62-year-old male presented with lower abdominal distention.
- Imaging revealed bilateral hydronephroses and a large (25 cm) heterogeneous pelvic mass.
- The mass was adjacent to the left side of the bladder.
Findings:
- Excretory urography showed a non-visualized left kidney and right hydronephrosis.
- CT confirmed a large, heterogeneous pelvic mass.
- Histopathological examination of the resected specimen diagnosed an abdominal desmoid tumor.
Implications:
- This case highlights the potential for large abdominal desmoid tumors to cause significant urological complications.
- Prompt diagnosis and surgical intervention are crucial for managing symptomatic desmoid tumors.
- Accurate histopathological diagnosis is essential for appropriate management and prognosis.