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Case report: urinoma in the proximal thigh mimicking a soft tissue neoplasm

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Abstract

Soft tissue tumors form a heterogeneous group of benign and malignant lesions. Those with a high fluid content may be particularly challenging in diagnosis. We present a 78-year-old man with a dolorous, progressive mass in the adductor region of the lower left extremity. At the end of a long diagnostic pathway, the pseudocystic tumor was eventually identified as a urinoma, caused by a prostatosymphyseal fistula that had occurred as a late complication of transurethral resection of the prostate. Our finding represents a rare variant of soft tissue tumors in the lower extremities, which MR-based urography can help to reveal.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Christopher Schuppert, Christoph Rehnitz & Christopher L. Schlett

  2. Department of Urology, Heidelberg University Hospital, Heidelberg, Germany

    Carine Pecqueux

  3. Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany

    Michaela Angelescu

Authors
  1. Christopher Schuppert
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  2. Christoph Rehnitz
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  3. Carine Pecqueux
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  4. Michaela Angelescu
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  5. Christopher L. Schlett
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Correspondence to Christopher L. Schlett.

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Schuppert, C., Rehnitz, C., Pecqueux, C. et al. Case report: urinoma in the proximal thigh mimicking a soft tissue neoplasm. Skeletal Radiol 48, 461–465 (2019). https://doi.org/10.1007/s00256-018-3041-2

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  • DOI: https://doi.org/10.1007/s00256-018-3041-2

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