PERINEAL XANTHOGRANULOMATOUS PSEUDOTUMOR DUE TO INTERMITTENT CATHETERIZATION - A LIPOSARCOMA MIMIC - CASE-REPORT

A large perineal fatty tissue mass shown to be an encapsulated xanthog ranulomatous reaction was found in a spinal cord injured man whose neu ropathic bladder was for a long time being managed by clean intermitte nt catheterization, but who had chronic urinary tract infection. He wa s also known to be a chronic alcoholic. We would say that an alcohol n umbed sensorium and multiple catheterizations led to recurrent small u rethral perforations which in the setting of chronic bacteriuria promo ted the unusual inflammatory mass. Appreciating the increasing use of clean intermittent catheterization for the spinal cord injured, we sus pect that similar cases of 'xanthogranulomatous pseudotumors' will be found, and therefore we describe this most unusual clinical presentati on.