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An unusual case of delayed rectosigmoid compression by pelvic mass following cystectomy

Report of a case

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Diseases of the Colon & Rectum

Abstract

A rare case of rectosigmoid compression by an enormous obscure pelvic mass after cystectomy is reported. Pelvic collections in the form of abscess, hematoma, lymphocele, and urinoma are not uncommon in the early postoperative period following pelvic surgery. However, delayed appearance of a benign pelvic mass as a late complication of surgery is very rare. Localized pelvic masses discovered years after cystectomy for bladder tumor may lead to an erroneous clinical impression of local recurrence of the primary neoplasm. Differential diagnosis of common pelvic masses, diagnostic studies, and treatment are discussed.

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References

  1. Whitmore WF Jr, Marshall VF. Radical total cystectomy for cancer of the bladder: 230 consecutive cases five years later. J Urol 1962; 87:853–68.

    PubMed  Google Scholar 

  2. Freiha FS. Complications of cystectomy. J Urol 1980; 123:168–9.

    PubMed  CAS  Google Scholar 

  3. Johnson DE, Lamy SM. Complications of single stage radical cystectomy and ileal conduit diversion: review of 214 cases. J Urol 1977; 117:171–3.

    PubMed  CAS  Google Scholar 

  4. Margulis AR, Burhenne HJ, eds. General considerations. In: Alimentary tract roentgenology. 2nd ed. St. Louis: CV Mosby, 1973.

    Google Scholar 

  5. Rutledge F, Dodd GD Jr, Kasilag FB Jr. Lymphocysts: a complication of radical pelvic surgery. Am J Obstet Gynecol 1959; 77:1165–75.

    PubMed  CAS  Google Scholar 

  6. Gray MJ, Plentl AA, Taylor HC Jr. The lymphocyst: a complication of pelvic lymph node dissections. Am J Obstet Gynecol 1958; 75:1059–62.

    PubMed  CAS  Google Scholar 

  7. Fogg LB, Smyth JW. Pelvic lipomatosis: a condition simulating pelvic neoplasm. Radiology 1968; 90:558–64.

    PubMed  CAS  Google Scholar 

  8. Fry DE, Amin M, Harbrecht PJ Rectal obstruction secondary to carcinoma of the prostate. Ann Surg 1979; 189:488–92.

    Article  PubMed  CAS  Google Scholar 

  9. Stout AP. Tumors of the soft tissues. In: Atlas of tumor pathology, Washington: US Armed Forces Institute of Pathology, 1953; Sect 2, Fasc 5.

    Google Scholar 

  10. Rieser C, Griffin TL. Cysts of the prostate. J Urol 1964; 91:282–6.

    PubMed  CAS  Google Scholar 

  11. Feldman RA, Weiss RM. Urinary retention secondary to Müllerian duct cyst in a child. J Urol 1972; 108:647–8.

    PubMed  CAS  Google Scholar 

  12. Goligher JC. Anorectal abscess. In: Surgery of the anus, rectum, and colon. 4th ed. London: Bailliere Tindall, 1980.

    Google Scholar 

  13. Byron RL Jr, Yonemoto RH, Davajan V, Townsend D, Bashore R, Morton DG. Lymphocysts: surgical correction and prevention. Am J Obstet Gynecol 1966; 94:203–7.

    PubMed  Google Scholar 

Download references

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Ali Khan, S., Smith, N.L., Hu, KN. et al. An unusual case of delayed rectosigmoid compression by pelvic mass following cystectomy. Dis Colon Rectum 25, 720–722 (1982). https://doi.org/10.1007/BF02629548

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  • DOI: https://doi.org/10.1007/BF02629548

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