Case report: urinoma in the proximal thigh mimicking a soft tissue neoplasm

Soft tissue tumors form a heterogeneous group of benign and malignant lesions. Those with a high fluid content may be particularly challenging in diagnosis. We present a 78-year-old man with a dolorous, progressive mass in the adductor region of the lower left extremity. At the end of a long diagnos...

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Main Authors: Schuppert, Christopher (Author) , Rehnitz, Christoph (Author) , Pecqueux, Carine (Author) , Angelescu, Michaela (Author) , Schlett, Christopher L. (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Skeletal radiology
Year: 2018, Volume: 48, Issue: 3, Pages: 461-465
ISSN:1432-2161
DOI:10.1007/s00256-018-3041-2
Online Access:Verlag, Volltext: http://dx.doi.org/10.1007/s00256-018-3041-2
Verlag, Volltext: https://doi.org/10.1007/s00256-018-3041-2
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Author Notes:Christopher Schuppert, Christoph Rehnitz, Carine Pecqueux, Michaela Angelescu, Christopher L. Schlett

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520 |a Soft tissue tumors form a heterogeneous group of benign and malignant lesions. Those with a high fluid content may be particularly challenging in diagnosis. We present a 78-year-old man with a dolorous, progressive mass in the adductor region of the lower left extremity. At the end of a long diagnostic pathway, the pseudocystic tumor was eventually identified as a urinoma, caused by a prostatosymphyseal fistula that had occurred as a late complication of transurethral resection of the prostate. Our finding represents a rare variant of soft tissue tumors in the lower extremities, which MR-based urography can help to reveal. 
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