Rare case of retropubic parasymphyseal cyst in a male patient

IJU Case Reports

article

Shigeki Arase¹  Kiminobu Arima¹  Tomoki Kusafuka²  Yasumitsu Kanamori²  Hiroyuki Katou²  Hiroshi Imai³  Takashi Koyama⁴  Takahiro Inoue⁵ 

[1] Departments of Urology, Kinan Hospital;Departments of Surgery, Kinan Hospital;Pathology Division, Mie University;Department of Radiology Center and Diagnostic Radiology, Kurashiki Central Hospital;Department of Nephro-Urologic Surgery and Andrology, Mie University

关键词: antibacterial agents;    magnetic resonance imaging;    osteophyte;    pubic symphysis;    urinary bladder;   

DOI  :  10.1002/iju5.12382

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

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.

【 授权许可】

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