Retrorectal schwannoma in a middle-aged female: A case report.
| Autor: | Poudel D; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Nepal., Shrestha S; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Nepal., Poddar E; Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Nepal., Pacchai P; Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Maharajgunj, Nepal., Kandel BP; Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Maharajgunj, Nepal. Electronic address: drkandel@hotmail.com., Lakhey PJ; Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Maharajgunj, Nepal. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of surgery case reports [Int J Surg Case Rep] 2022 Jul; Vol. 96, pp. 107270. Date of Electronic Publication: 2022 Jun 01. |
| DOI: | 10.1016/j.ijscr.2022.107270 |
| Abstrakt: | Introduction and Importance: Primary sacral and presacral lesions are uncommon and pose a significant diagnostic dilemma. Retrorectal schwannoma is a benign primary presacral lesion that is extremely rare and presents with non-specific symptoms. Case Presentation: A 42-years-old, female patient was admitted for lower-back pain for seven days. The retrorectal mass was detected on imaging, and she underwent laparoscopic excision. Pathological examination revealed a rare retrorectal schwannoma. Clinical Discussion: Retrorectal location of schwannomas is rare and the preoperative diagnosis is very difficult as the clinical features and the radiological features are non-specific. In addition, these tumors can be found incidentally on routine rectal or pelvic examinations. As these tumors are benign, encapsulated, and non-invasive, this entity has an excellent prognosis. Despite the tumors' rarity and variety, we concur with the literature that surgical management is required to obtain a clear diagnosis and avoid consequences such as malignant transformation. Conclusion: Retrorectal Schwannoma presents a diagnostic and therapeutic challenge. Identification is important because surgical excision, either open or laparoscopic, is curative. (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Databáze: | MEDLINE |
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