Retroperitoneal Fibrosis Secondary to Ovarian Malignancy: Case Report

Autor: İncim Bezircioğlu, Ferit Soylu, Levent Hiçyilmaz, Türkan Rezanko, Ismail Kucuk
Rok vydání: 2013
Předmět:
Zdroj: Turkiye Klinikleri Journal of Medical Sciences. 33:553-556
ISSN: 2146-9040
1300-0292
Popis: A 48-year-old woman was admitted with the complaint of lower abdominal pain for two years and left leg edema for one month. Physical examination revealed bilateral pelvic mass and imaging techniques including ultrasound and computed tomography revealed a normal uterus and solid-cystic mass invading bilateral ovaries. Intravenous pyelogram showed a delay of the contrast material and mild hydronephrosis on the left side. The patient underwent total abdominal hys - terectomy, bilateral salpingo-oopherectomy, ureterolysis, omentectomy, pelvic and paraaortic lymph node dissection. On the left side, retroperitoneal space was extremely fibrotic and the left ureter was rigid like a lead tube. Histopathologic examination revealed bilateral malignant serous tumor of the ovary and retroperitoneal fibrosis on the left side. Lower limb edema and renal func - tion improved rapidly. Although retroperitoneal fibrosis is a rare disease and is usually idiopathic, 8% of cases are associated with malignancy. Ovarian malignancy related to retroperitoneal fibrosis has not been reported before in the literature.
Databáze: OpenAIRE