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| Anorectum |
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Rajendra Jain |
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| Case |
A 47 year chartered accountant from Udaipur, Rajasthan, a known hypertensive patient presented with lower abdominal pain and swelling for the 1-1/2 months. On examination he had a large irregular hard tumour palpable in the hypogastrium (lower abdomen). |
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Usg Abd & CT Scan abdomen showed a well defined tumor arising from the presacral space between bladder and rectum with intense enhancement on contrast study s/o vascular tumor. |
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Usg guided fanc: suggestive of haemorrhagic collection with no malignant cells seen. |
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Cystoscopic Bilateral DJ stenting was done preoperatively. |
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Diagnostic laparoscopy showed well defined tumor with no metastasis. |
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Exploratory laparotomy done by Dr. Sanjiv Haribhakti on 11th march, 2004 at Sterling Hospital. |
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A large dumbell shaped soft tissue tumor arising from the presacral region between bladder and rectum, pushing the rectum to the right, adherent to mesorectum and mesosigmoid.
The tumour was extremely vascular and difficult to remove and there was signioficant amount of bleeding during tumour removal. The tumour was completely removed and was found to be arising from presacral venous plexus. The haemostasis was extremely difficult and finally the area was packed which were removed after 48 hours. |
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The histopathology of the tumour was haemangiopericytoma, however immunohistochemistry proved it to be a paraganglioma. |
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Rajendrabhai has recovered completely from his surgery and is back to his work. |
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| Operative Photograph of Pelvic Tumour |
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Specimen of Pelvic Tumour (Paraganghioma) |
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