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Hemodynamic Instability due to Intratumoral Hemorrhage in Retroperitoneal Alveolar Rhabdomyosarcoma in Adult
(Drunpp-Sarajevo, 2010) Sezer, Atakan; Yagci, Mehmet Ali; Hatipoglu, Ahmet Rahmi; Coskun, Irfan; Calta, Fedai; Cicin, Irfan; Usta, Ufuk
Background: Rhabdomyosarcomas are the most common soft tissue sarcomas in pediatric age and rare in adults. Case Report: A 37-year-old male admitted with abdominal discomfort and mass during the previous 9 months. The patient was hospitalized for the diagnosis of abdominal mass. Initial hemodynamic parameters were stabile. During diagnosis course, hemoglobin level decreased and hemodynamic instability occurred. Abdominal computed tomography revealed a 30x20 cm mass in left retroperitoneal space. The physical examination revealed the enlargement of the mass. The surgical resection of tumor and the adjacent abdominal wall resection were performed. Alveolar rhabdomyosarcoma was diagnosed. The patient received adjuvant chemotherapy and radiotherapy. The patient had 8 mouths follow up without signs of recurrence. Conclusion: The clinical presentation of this tumor with haemodynamic instability due to intra tumoral hemorrhage is a challenging course for physicians and this rare entity must be kept in mind for accurate and urgent treatment.