Surgical challenges of Castleman's disease of the pelvis

Sat Prasad Nepal; Takeshi Shichijo; Yoshio Ogawa; Michio Naoe; Kazuhiko Oshinomi; Jun Morita

doi:10.1016/j.eucr.2020.101518

Surgical challenges of Castleman's disease of the pelvis

Urol Case Rep. 2020 Dec 1:34:101518. doi: 10.1016/j.eucr.2020.101518. eCollection 2021 Jan.

Authors

Sat Prasad Nepal¹, Takeshi Shichijo¹, Yoshio Ogawa¹, Michio Naoe¹, Kazuhiko Oshinomi¹, Jun Morita¹

Affiliation

¹ Department of Urology, Showa University, School of Medicine, Japan.

Abstract

Castleman's disease (CD) is a unique lymphoproliferative disorder. It commonly occurs in the mediastinum, neck, axilla, and abdomen, and retroperitoneal involvement is rare. Here we report a unique case of CD in the pelvis. Laparotomy was performed and surgery was complicated by adhesions and vascularity. Total surgical duration was Five hours and 45 min with 4.5 L of blood loss. Ten pints of blood was transfused. The mass was histopathologically diagnosed as hyaline-vascular CD. The patient was free of recurrence after 10 years of follow-up.

Keywords: Adhesion; Castleman's disease; Pelvis; Vascularity.

Publication types

Case Reports