Clinical and Medical Case Reports

Department of Diagnostic Imaging, National University Hospital, 5 Lower Kent Ridge Rd, Singapore

Publications

• Case Report   
  Retroperitoneal Desmoid-type Fibromatosis of the Distal Ureter: A Discussion of the Imaging Differential Diagnoses
  Author(s): Desmond Lim Shi Wei*, Edmund Chiong, Derrick Lian Wen Quan and Lim Mei Chin
  
  A 42-year-old man in remission for chronic myeloid leukaemia (CML) was found to have worsening renal function. Computed Tomography (CT) of the urinary system showed a soft tissue lesion of the right distal ureter which had an atypical appearance for primary malignancy. Due to concerns of recurrence, further evaluation with contrast-enhanced Magnetic Resonance Imaging (MRI) was performed revealing the fibrous nature of the lesion. Considering the resultant obstructive uropathy and the need to exclude recurrence of prior haematological malignancy, resection and histological examination was performed. Resection of the affected segment of the right distal ureter was performed with reimplantion (Psoas Hitch) and Heineke-Mikulicz Bladder reconstruction. Histological examination revealed desmoid-type fibromatosis involving the ureter which is extremely rare. We presen.. Read More»
  DOI: 10.37421/2684-4915.2022.6.214

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