Primary retroperitoneal mucinous tumor; report of two cases and review of literature

Primary retroperitoneal mucinous tumors are rare neoplasms and almost exclusively seen in women. In this case report we present two cases of this entity with their clinicopathologic features. The first patient was a 32 years old unmarried woman presented with abdominal pain. Ultrasound imaging demonstrated a solid and thick walled ovarian mass m. 105* 70*80 mm. At laparotomy a large retroperitoneal mass with extention to pelvis, dome of urinary bladder and upper abdomen was found and omentum was involved by the tumor. Histopathological examination revealed a mucinous adenocarcinoma with mural nodule contained high-grade anaplastic carcinoma in retroperitoneal space. The second case was a 36 years old woman with retroperitoneal mucinous cystadenoma. The first case died of disease at first month of her diagnosis. Primary retroperitoneal mucinous tumors that containing anaplastic carcinoma or sarcomas are highly aggressive tumors with poor prognosis showing metastasis by high-grade component

randomized clinical trial to compare immediate versus delayed removal of foley catheter following abdominal hysterectomy and laparotomy

Indwelling urinary catheters are frequently used after surgery to prevent urinary retention. There is controversy about the ideal time to remove the catheter after surgery. This study compares the early and late Foley catheter removal following hysterectomy and laparotomy. In a clinical trial, 200 women candidate for hysterectomy or laparotomy were randomized to early removal of Foley catheter immediately or 24 hours after surgery. Early and late outcomes such as pain, fever, symptomatic urinary tract infection [UTI], the rate of recatheterization and patients' satisfaction were compared in two groups. There were no significant differences between two groups in symptomatic UTI, recatheterization rate and reinsertion of Foley catheter. The mean time of hospital stay were lower in the early removal group [P< 0.05]. The patients were more satisfied when the catheter was removed early. Immediate removal of Foley catheter seems to be more beneficial and satisfying for the patients than delayed removal