Gállego-Sales SG, Jamaica-Verduzco E, Guerrero-Medrano J, Zárate-Osorno A

Language: Spanish
References: 13
Page: 67-70
PDF size: 153.40 Kb.

ABSTRACT

The case of a 50-year-old male presenting with a perivesical tumor is presented. The patient had experienced pain and urinary symptomatology over a period of 3 years. Symptoms were vague and initially manifested as discomfort in the inferior abdomen and perineum. Computerized tomography showed minimal changes in the prostate gland classified as cystic degeneration. Three months earlier the patient had experienced significant progressive pain in the hypogastrium and left iliac fossa that did not let him move the left pelvis along with urinary frequency and urgency. Upon examination, an approximately 15 cm mass was palpated in the hypogastrium. Computerized tomography confirmed the presence of a perivesical mass displacing the bladder and whose periphery was reinforced by the contrast material. A central hypodense image was also visible. Because of uncertainty as to the origin of the mass, complementary transrectal ultrasound was done and showed heterogeneous echogenicity with both cystic and solid areas. Urethrocystoscopy showed obstruction with significant bladder displacement toward the bladder neck. The mass was removed via the abdomen without complications. Postoperative progression was satisfactory and the patient was released after three days. The histopathological study of the specimen reported solitary fibrous tumor. Immunohistochemical study was done later and was positive for vimentin and CD34.

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