Bakhshi Girish D, Tayade Mukund B, Yadav Rajesh B, Jadhav Kavita V, Shenoy Sachin S, Amin Margi V
Department of General Surgery, Grant Medical College and Sir J. J. Group of Hospitals , Byculla, Mumbai, India.
Clin Pract. 2014 Nov 24;4(3):660. doi: 10.4081/cp.2014.660. eCollection 2014 Oct 30.
A 58-year old male presented with a hard lump in lower abdomen extending into pelvis. Clinical examination and computed tomography scan revealed pelvic retroperitoneal mass. Patient underwent exploratory laparotomy - revealing a well encapsulated retroperitoneal mass extending up to coccyx, posterior to the urinary bladder. It had displaced the recto-sigmoid colon and urinary bladder to the right. Histopathological findings revealed a neurofibroma. Pelvic neurofibromas are known to arise from certain pelvic organ. However, present case ruled out any organ involvement both on imaging and intraoperatively. This shows that these tumors can arise de novo also. A brief case report and review of literature is presented.
一名58岁男性患者,下腹部出现硬块并延伸至盆腔。临床检查和计算机断层扫描显示盆腔腹膜后肿块。患者接受了剖腹探查术,发现一个包膜完整的腹膜后肿块,向上延伸至尾骨,位于膀胱后方。它将直肠乙状结肠和膀胱向右推移。组织病理学检查结果显示为神经纤维瘤。盆腔神经纤维瘤已知起源于某些盆腔器官。然而,本病例在影像学和手术中均排除了任何器官受累情况。这表明这些肿瘤也可原发产生。本文给出了一份简短的病例报告并对文献进行了综述。