Ileal Schwannoma: A Rare Cause of Pelvic Mass.

Autor: Jezovit M; Cyril and Methodius University Hospital, Bratislava, Slovakia., Bakirli H; Cyril and Methodius University Hospital, Bratislava, Slovakia., Bakirov I; Kettering General Hospital, University Hospitals of Northamptonshire NHS Group, Kettering, UK., Hureibi K; Kettering General Hospital, University Hospitals of Northamptonshire NHS Group, Kettering, UK., Bakirova G; King Saud Medical City, Riyadh, Saudi Arabia., Okolicany R; Cyril and Methodius University Hospital, Bratislava, Slovakia., Janac P; Cyril and Methodius University Hospital, Bratislava, Slovakia., Meciarova I; Cyril and Methodius University Hospital, Bratislava, Slovakia., Alhwaymel N; Al Iman General Hospital, Riyadh, Saudi Arabia., Bakirli I; National Institute of Cardiovascular Diseases, Bratislava, Slovakia., Prochotsky A; Cyril and Methodius University Hospital, Bratislava, Slovakia.
Jazyk: angličtina
Zdroj: Case reports in surgery [Case Rep Surg] 2024 Feb 14; Vol. 2024, pp. 5572087. Date of Electronic Publication: 2024 Feb 14 (Print Publication: 2024).
DOI: 10.1155/2024/5572087
Abstrakt: The incidence of small bowel schwannomas is extremely low. In the current literature, we found just a few reported small intestine schwannomas that were located in the duodenum, jejunum, or ileum. This study reports a surprising finding of a relatively large size ileal schwannoma in a patient whose preoperative magnetic resonance imaging described a tumour in the lesser pelvis probably derived from the right adnexa. Pfannenstiel incision was made by the gynaecology team, which found a large mass lesion arising from the small intestine and occupying nearly the entire lesser pelvis. The general surgeon was invited, and pathology was successfully managed by segmental resection of the small bowel with primary end-to-end anastomosis. The histopathology study reported a submucosal tumour composed of S-100 protein-positive spindle cells, and the diagnosis of ileal schwannoma was made. The possibility of intestinal neoplasms, including schwannomas, might be contemplated in the differential diagnosis of any pelvic mass lesions. A detailed histology study and immunohistochemical stain are required for the final diagnosis of intestinal schwannomas and to rule out malignant changes, which are extremely important for the further management of patients. To the best knowledge, our case is one of the biggest intestinal schwannomas reported in the current literature.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2024 Martin Jezovit et al.)
Databáze: MEDLINE
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