PARAVESICAL GRANULOMA AFTER INGUINAL HERNIORRHAPHY
| Autor: | Hiroshi Hashimoto, Hiroaki Osanai, Naoki Wada, Sunao Yachiku, Makoto Azumi, Yuji Saga |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Granuloma medicine.diagnostic_test business.industry Urology medicine.medical_treatment Urinary Bladder Diseases Hernia Inguinal Cystoscopy Malignancy medicine.disease Surgery Cystectomy Postoperative Complications Inguinal herniorrhaphy medicine Humans Presentation (obstetrics) Complication business Aged Rare disease |
| Zdroj: | The Japanese Journal of Urology. 95:684-687 |
| ISSN: | 1884-7110 0021-5287 |
| DOI: | 10.5980/jpnjurol1989.95.684 |
| Popis: | Paravesical granuloma is a rare complication after inguinal herniorrhaphy. We report a case of this rare disease and review 27 previously reported cases. A 70-year-old male presented with hematopyuria. He had undergone right inguinal herniorrhaphy five years earlier. On presentation, the right inguinal area was wet with exudate. Cystoscopy revealed edematous mucosa on the right side of the bladder dome, but transurethral bladder biopsy demonstrated no malignancy. CT identified a 2-cm diameter mass with heterogeneous appearance on the right side of the bladder dome. Treatment with antibiotics proved ineffective and en bloc excision of the tumor with partial cystectomy was performed. Symptoms subsequently resolved completely. Histopathologically, the tumor represented inflammatory granuloma, and a mesh thought to be a remnant from the previous herniorrhaphy was found in the central portion of the tumor. Paravesical granuloma should be considered for patients with continuous hematopyuria and a history of inguinal herniorrhaphy. |
| Databáze: | OpenAIRE |
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