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

BMC Surgery

Case Report

Chandu De Silva¹  Neville D Perera²  Chathuranga Tisara Keppetiyagama³  Dharmabandhu N Samarasekera³  Duminda Subasinghe³ 

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

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

DOI  :  10.1186/1471-2482-14-21

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

来源: Springer

【 摘 要 】

BackgroundPelvic floor hernias pose a diagnostic and a treatment challange. Neurofibromatosis is a rare systemic disease, and urinary tract involvement is rare.Case presentationHere 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.ConclusionNeurofibromatosis 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】

Unknown   
© Subasinghe et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.