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Infected inguinal hernia mesh presenting as pseudotumor of the bladder.

Dubbeling RM, Ramesh K - Indian J Urol (2013)

Bottom Line: Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder.During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh.Postoperative histopathological examination revealed inflammatory pseudotumor.

View Article: PubMed Central - PubMed

Affiliation: VU University Medical Center, Amsterdam, The Netherlands.

ABSTRACT
Pseudotumors are uncommon benign tumors considered as a reactive inflammatory lesion. We report a case of a 53-year-old male with a history of right laparoscopic hernia repair and now referred for suspected urachal cyst. Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder. During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh. Postoperative histopathological examination revealed inflammatory pseudotumor. With only one comparable case described, an infected mesh presenting as pseudotumor of the bladder is extremely rare.

No MeSH data available.


Related in: MedlinePlus

(a) Cranial view of mesh (b) surrounded with pseudotumor, (c) just before surgical removal from bladder wall
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Figure 2: (a) Cranial view of mesh (b) surrounded with pseudotumor, (c) just before surgical removal from bladder wall

Mentions: Ruled out malignant disease, 6 days after the initial procedure relaparotomy with frozen section was planned. During dissection, the tumor was identified infiltrating the posterior wall of the right rectus sheath. Frozen section was done to exclude a sampling error and to rule out an inadequate first sample. Further dissection revealed presence of the previously placed inguinal mesh [Figure 2]. Excision of ventral part of the bladder wall, total fibrous tissue, and mesh was performed and frozen section was suggestive of inflammatory pseudotumor. Histopathological examination confirmed the frozen section, without any signs of malignancy [Figure 3]. The postoperative period was uncomplicated and patient was discharged asymptomatically after 3 days.


Infected inguinal hernia mesh presenting as pseudotumor of the bladder.

Dubbeling RM, Ramesh K - Indian J Urol (2013)

(a) Cranial view of mesh (b) surrounded with pseudotumor, (c) just before surgical removal from bladder wall
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3822352&req=5

Figure 2: (a) Cranial view of mesh (b) surrounded with pseudotumor, (c) just before surgical removal from bladder wall
Mentions: Ruled out malignant disease, 6 days after the initial procedure relaparotomy with frozen section was planned. During dissection, the tumor was identified infiltrating the posterior wall of the right rectus sheath. Frozen section was done to exclude a sampling error and to rule out an inadequate first sample. Further dissection revealed presence of the previously placed inguinal mesh [Figure 2]. Excision of ventral part of the bladder wall, total fibrous tissue, and mesh was performed and frozen section was suggestive of inflammatory pseudotumor. Histopathological examination confirmed the frozen section, without any signs of malignancy [Figure 3]. The postoperative period was uncomplicated and patient was discharged asymptomatically after 3 days.

Bottom Line: Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder.During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh.Postoperative histopathological examination revealed inflammatory pseudotumor.

View Article: PubMed Central - PubMed

Affiliation: VU University Medical Center, Amsterdam, The Netherlands.

ABSTRACT
Pseudotumors are uncommon benign tumors considered as a reactive inflammatory lesion. We report a case of a 53-year-old male with a history of right laparoscopic hernia repair and now referred for suspected urachal cyst. Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder. During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh. Postoperative histopathological examination revealed inflammatory pseudotumor. With only one comparable case described, an infected mesh presenting as pseudotumor of the bladder is extremely rare.

No MeSH data available.


Related in: MedlinePlus