Presacral myelolipoma: case report with computed tomographic and angiographic findings.
A rare case of presacral myelolipoma in an otherwise healthy 53 year old man is described. His only complaint was lower abdominal discomfort. Full investigation including computed tomography and angiography revealed a well-delineated, heavily calcified, avascular retrorectal mass adhering to the presacral fascia. Histologically the mass showed a mixture of haemopoietic tissue and mature fat cells. Clinically the absence of symptoms and bone involvement served to distinguish this condition from other more sinister presacral lesions, particularly a chordoma.
Chan
Y F
YF
Clinical Pathology Unit, Princess Margaret Hospital, Lai Chi Kok, Kowloon, Hong Kong.
Yu
S J
SJ
Chan
Y T
YT
Yik
Y H
YH
D000792:Angiography; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012445:Sacrococcygeal Region; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed