A.M. Retroperitoneal mass Samer Michael. Patient presentation Work up Management Results.

A.M.Retroperitoneal mass

Samer Michael

• Patient presentation

• Work up

• Management

• Results

Admission 29/12/13

• 61 years

• Occupation- Butcher

• No PMH

• RUQ abdominal pain, anemia and Weight loss

• No other complaints

Ambulatory Work-up

• Right flank pain Ultrasound

• Weight-loss and Anemia Gastroscopy Colonoscopy CT-colono

On Admission

• Vital signs- Normal

• Physical exam- Mild RUQ tenderness

Laboratory

Imaging

Imaging

• Chest and Abdominal X-Ray

• Ambulatory CT Retroperitoneal mass

Patient admitted for further work-up

Work-up

• Laboratory

• Gastorscopy

• Colonoscopy

Surgery

• 16/1/14Diagnostic Laparoscopy Exploratory Laparotomy

• Frozen section- Angiomyolipoma

Post-OP

• Neutropenia

• Drug related (Optalgin)

• Resolved

Pathology

Discussion