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Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection.
Jamtani, Indah; Nugroho, Adianto; Rahadiani, Nur; Manangka, R Semuel W.
  • Jamtani I; Department of Surgery, Fatmawati Central General Hospital, Jakarta Selatan, DKI Jakarta, Indonesia.
  • Nugroho A; Department of Surgery, Fatmawati Central General Hospital, Jakarta Selatan, DKI Jakarta, Indonesia adiyusuf97@gmail.com.
  • Rahadiani N; Anatomical Pathology Department, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo National Referral Hostpital, Jakarta, Indonesia.
  • Manangka RSW; Radiology Department, Mayapada Hospital, DKI Jakarta, Indonesia.
BMJ Case Rep ; 14(3)2021 Mar 02.
Article in English | MEDLINE | ID: covidwho-1115111
Semantic information from SemMedBD (by NLM)
1. Macrophage Activation Syndrome PROCESS_OF Male population group
Subject
Macrophage Activation Syndrome
Predicate
PROCESS_OF
Object
Male population group
2. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
3. liposarcoma PROCESS_OF Patients
Subject
liposarcoma
Predicate
PROCESS_OF
Object
Patients
4. Dull chest pain PROCESS_OF Male population group
Subject
Dull chest pain
Predicate
PROCESS_OF
Object
Male population group
5. Lower Urinary Tract Symptoms PROCESS_OF Male population group
Subject
Lower Urinary Tract Symptoms
Predicate
PROCESS_OF
Object
Male population group
6. Urinary Retention PROCESS_OF Patients
Subject
Urinary Retention
Predicate
PROCESS_OF
Object
Patients
7. Pain level PROCESS_OF Patients
Subject
Pain level
Predicate
PROCESS_OF
Object
Patients
8. Magnetic Resonance Imaging (MRI) of Pelvis DIAGNOSES Macrophage Activation Syndrome
Subject
Magnetic Resonance Imaging (MRI) of Pelvis
Predicate
DIAGNOSES
Object
Macrophage Activation Syndrome
9. Macrophage Activation Syndrome PROCESS_OF Male population group
Subject
Macrophage Activation Syndrome
Predicate
PROCESS_OF
Object
Male population group
10. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
11. liposarcoma PROCESS_OF Patients
Subject
liposarcoma
Predicate
PROCESS_OF
Object
Patients
12. Dull chest pain PROCESS_OF Male population group
Subject
Dull chest pain
Predicate
PROCESS_OF
Object
Male population group
13. Lower Urinary Tract Symptoms PROCESS_OF Male population group
Subject
Lower Urinary Tract Symptoms
Predicate
PROCESS_OF
Object
Male population group
14. Urinary Retention PROCESS_OF Patients
Subject
Urinary Retention
Predicate
PROCESS_OF
Object
Patients
15. Pain level PROCESS_OF Patients
Subject
Pain level
Predicate
PROCESS_OF
Object
Patients
16. Magnetic Resonance Imaging (MRI) of Pelvis DIAGNOSES Macrophage Activation Syndrome
Subject
Magnetic Resonance Imaging (MRI) of Pelvis
Predicate
DIAGNOSES
Object
Macrophage Activation Syndrome
ABSTRACT
We describe a case of retrovesical liposarcoma in a male patient with concurrent COVID-19. A 50-year-old man had lower urinary tract symptoms and dull pain along his right gluteus. Due to COVID-19 infection, management was delayed. During self-isolation, the patient developed urinary retention and his pain level was an eight on the Visual Analogue Scale. A urinary catheter and an epidural catheter were inserted without any difficulty. Abdominal-pelvic MRI revealed a retrovesical mass suspected of liposarcoma with clear borders from surrounding organs. Following two consecutive negative SARS-CoV-2 PCR tests, we proceeded with surgery. Histopathology was dedifferentiated liposarcoma. Postoperatively, the patient suffered reactivation of COVID-19, and he was eventually discharged after two consecutive negative results on the PCR test on Post Operative Day (POD)-10. Retrovesical dedifferentiated liposarcoma is rare and considered as high-grade liposarcoma. Although surgery may exacerbate COVID-19 infection, surgical resection of symptomatic high-grade sarcoma is prioritised and performed as soon as no infection detected.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pelvic Neoplasms / Surgical Procedures, Operative / Urinary Retention / Lower Urinary Tract Symptoms / SARS-CoV-2 / COVID-19 / Liposarcoma Type of study: Diagnostic study / Etiology study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-241466

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pelvic Neoplasms / Surgical Procedures, Operative / Urinary Retention / Lower Urinary Tract Symptoms / SARS-CoV-2 / COVID-19 / Liposarcoma Type of study: Diagnostic study / Etiology study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-241466