ID 106059
Author
Arakawa, Yusuke Department of Surgery, Taoka Hospital KAKEN Search Researchers
Yoshioka, Kazuo Department of Surgery, Taoka Hospital|Department of digestive and transplantation surgery, the University of Tokushima graduate school
Kamo, Hitomi Department of Surgery, Taoka Hospital
Kawano, Koichiro Department of Digestive Endoscopy, Taoka Hospital
Yamaguchi, Takeshi Department of Surgery, Taoka Hospital
Sumise, Yuko Department of Surgery, Taoka Hospital
Okitsu, Natsu Department of Surgery, Taoka Hospital
Ikeyama, Shizuo Department of Radiology, Taoka Hospital
Morimoto, Kojiro Department of Surgery, Taoka Hospital
Nakai, Yoshihiro Department of Surgery, Taoka Hospital
Tashiro, Seiki Department of Surgery, Taoka Hospital|Professor Emeritus of the University of Tokushima graduate school Tokushima University Educator and Researcher Directory
Keywords
retroperitoneal tumor
liposarcoma
acute pancreatitis
Content Type
Journal Article
Description
A 74-year-old male with abdominal pain was admitted to the emergency room in our hospital. The high value of serum amylase was shown in his blood test. The postcontrast computed tomography (CT) showed the huge retroperitoneal tumor with a thinwalled mass occupying most of the part of the right retroperitoneal space. The tumor spread into the soft tissues around the pancreas ; as a result, the duodenum was compressed and the pancreas was displaced to the right side. The irregular pancreatic outline, obliterated peripancreatic fatty tissue and fluid in the left anterior pararenal space were revealed, so acute pancreatitis was diagnosed. The diagnostic biopsy of retroperitoneal tumor was done, and the pathological findings of retroperitoneal mass revealed dedifferentiated liposarcoma. The medical treatment against acute pancreatitis was performed firstly. After the patient recovered from that, the surgical resection of the tumor with the right kidney and right adrenal gland was completed successfully. The patient remained well, without any evidence of recurrence three months after surgery. However, the histology showed dedifferentiated liposarcoma ; therefore, postoperative regular examination is necessary.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
1-2
Start Page
164
End Page
168
Sort Key
164
Published Date
2013-02
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences