Matthew Romine, MD, Gregory Kennedy, MD, PhD. University of Alabama at Birmingham
A forty-seven year old male presented with left leg pain for 3 months duration described as shooting pain. He underwent extensive testing including a CT and MRI of his pelvis demonstrating a left pelvic sidewall mass abutting his iliac vessels and left ureter. Based on imaging, the mass was concerning for an enlarged lymph node versus a nerve sheath tumor. EMG testing demonstrated normal neurologic function. Given location of the mass, he elected to proceed with surgical resection of the left pelvic sidewall mass.
The accompanying video demonstrates the laparoscopic surgical technique used to resect the mass. The case was particularly challenging given the mass resided next to the left iliac artery and vein with the ureter coursing over the mass.
Postoperatively, the patient returned to clinic free of any further episodes of preoperative pain nor complications from his surgery. Final pathology of the mass was unifocal Castleman's disease, a rare lymph node disease, which is cured with surgical resection.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95753
Program Number: V346
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop