Stevenson Tsiao*, Subhasis Misra and Nail Aydin
Department of Surgery, Texas Tech University Health Sciences Center, USAFulltext PDF
This is an 81 year old female who, on CT for evaluation of her atherosclerosis, was found to have an incidental right-sided retroperitoneal mass extending from the right renal capsule inferiorly through the inguinal canal. At this point, the patient reported mild right sided abdominal pain and right lower back pain, but reported no neuromotor deficits of the right lower extremity. Surgical intervention was pursued. On exploration, the lipomatous lesion, suggestive of liposarcoma, was invading the right genitofemoral nerve and ilioinguinal nerve which were sacrificed to ensure a complete oncologic resection. Following complete removal of the mass, she developed right side femoral nerve neuropraxia, suffering complete loss of motor function in the femoral distribution. Pathology revealed the mass to be a low grade liposarcoma. She required only physical therapy and oral prednisone following surgery for treatment of the neuropraxia. She responded well and has regained significant neuromotor function of the affected limb.
Tsiao S, Misra S, Aydin N. Neuropraxia Following Resection of a Retroperitoneal Liposarcoma. Clin Surg. 2017; 2: 1473.