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KMID : 1001020100080020078
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Korean Journal of Urological Oncology
2010 Volume.8 No. 2 p.78 ~ p.81
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Rhabdomyosarcoma Rupture of the Urinary Bladder in a 16-year-old Boy
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Yoo Dong-Hoon
Jang Woo-Huck
Lim Ju-Young
Seo Mu-Yeal
Kim Ju-Sung
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Abstract
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Rhabdomyosarcoma (RMS) rupture of the urinary bladder is extremely rare and this is the first case reported in Korean adolescents. A 16 year old boy was admitted to our hospital due to a worsening abdominal pain and pale complexion. A huge mass at the bladder dome and a large hematoma in the abdominal cavity was detected by computed tomography (CT) scan of abdomen and pelvis. There was no radiologic evidence of distant metastasis. The patient had unstable vital signs such as a blood pressure (BP) of 60/50mmHg and a rapid decrease in hemoglobin to 6.9g/dl. He needed an emergency explorative laparotomy, which led to the detection of the ruptured tumor originated from bladder so that we performed partial cystectomy despite the presence of disseminated abdominal disease. Histologically, the tumor was a RMS involving the urinary bladder.
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KEYWORD
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Rhabdomyosarcoma, Cystectomy, Urinary bladder
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