Rare case of retropubic parasymphyseal cyst in a male patient.

Autor: Arase S; Departments of Urology Kinan Hospital Minamimurogun Mihamacho Mie Japan., Arima K; Departments of Urology Kinan Hospital Minamimurogun Mihamacho Mie Japan., Kusafuka T; Departments of Surgery Kinan Hospital Minamimurogun Mihamacho Mie Japan., Kanamori Y; Departments of Surgery Kinan Hospital Minamimurogun Mihamacho Mie Japan., Katou H; Departments of Surgery Kinan Hospital Minamimurogun Mihamacho Mie Japan., Imai H; Pathology Division Mie University Tsu Mie Japan., Koyama T; Department of Radiology Center and Diagnostic Radiology Kurashiki Central Hospital Kurashiki Okayama Japan., Inoue T; Department of Nephro-Urologic Surgery and Andrology Mie University Tsu Mie Japan.
Jazyk: angličtina
Zdroj: IJU case reports [IJU Case Rep] 2021 Oct 07; Vol. 5 (1), pp. 36-40. Date of Electronic Publication: 2021 Oct 07 (Print Publication: 2022).
DOI: 10.1002/iju5.12382
Abstrakt: Introduction: Retropubic parasymphyseal cysta are rare, and few cases have been reported in men.
Case Presentation: A 65-year-old male patient presented with a 6-month history of pelvic and perineal pain. Magnetic resonance imaging revealed a high-intensity, irregular-shaped mass extending from the pubic symphysis to the bladder. Contrast enhancement revealed no uptake in the central part of the mass, indicating a cystic component. Computed tomography showed erosion of the pubic symphysis and pubic osteophytes. Pathological findings of biopsy specimens revealed inflammatory fibrous tissue but no malignancy. The definitive diagnosis was retropubic parasymphyseal cyst associated with inflammation. The patient was treated with cefazolin from 1 day before surgery until postsurgical day 7. Oral antibiotic therapy was then prescribed for 1 month to maximize treatment. After 2 months, the patient's symptoms resolved.
Conclusion: Retropubic parasymphyseal cysts with inflammation and smaller asymptomatic cysts can be managed effectively with conservative or minimally invasive treatment.
Competing Interests: The authors declare no conflict of interest.
(© 2021 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association.)
Databáze: MEDLINE
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