Neurofibroma invading into urinary bladder presenting with symptoms of obstructed defecation and a large perineal hernia

BMC Surgery

Dharmabandhu N Samarasekera¹  Neville D Perera³  Chandu De Silva²  Chathuranga Tisara Keppetiyagama¹  Duminda Subasinghe¹ 

[1] The National Hospital of Sri Lanka, University Surgical Unit, Colombo, Sri Lanka;Department of Pathology, University of Colombo, Colombo, Sri Lanka;Department of Urology and renal transplant, The National Hospital of Sri Lanka, Colombo, Sri Lanka

关键词: Perineal hernia;    Obstructive defecation;    Multiple neurofibromatosis;   

Others  :  866851
DOI  :  10.1186/1471-2482-14-21

 received in 2013-11-13, accepted in 2014-04-08,  发布年份 2014

【 摘 要 】

Background

Pelvic floor hernias pose a diagnostic and a treatment challange. Neurofibromatosis is a rare systemic disease, and urinary tract involvement is rare.

Case presentation

Here we report a case of a 54-year-old female with multiple neurofibromatosis who presented with features of obstructed defecation and was found to have a large perineal hernia. At surgery, we found an unusual herniation of a large neuropathic bladder and rectum through a perineal defect. She underwent reduction cystoplasty and repair of the pelvic floor using a prolene mesh. Subsequent histopathological examination confirmed a large neurofibroma infiltrating the urinary bladder.

Conclusion

Neurofibromatosis of the bladder is rare it should be considered as a differential diagnosis in patients presenting with symptoms of obstructed defecation.

【 授权许可】

   
2014 Subasinghe et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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