Laparoscopy-assisted removal of sarcoma botryoides in a 5 month old girl

A 5 month old girl presented with retention of urine for 1 day and something coming out through introitus. On exam there was suprapubic swelling which persisted even after catherization and evacuation of urinary bladder and a clot-like material protruded through the introitus. The girl was taken to the operation theater and under general anesthesia examined again. The mass protruding through the introitus was a flshy solid mass which was partly necrotic, but only a little of it could be torn apart. A laparoscope was introduced through supra-umbilical port and a huge mass was seen to be protruding from behind the uterus. Another port inserted and the intra-abdominal mass was then pushed from inside. The whole big fleshy solid mass then came out through introitus. It was removed and sent for histopathology. The report came as rhabdomyosarcoma. The baby was then referred to the oncology dept for further management.