Permanent neurological deficit caused by misdiagnosis of a giant intrapelvic sciatic schwannoma: A case report
| Autor: | Yuanhuan Xiong, Sijie Yi, Bing Fu, Xia Jin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics and Gynecology Multidisciplinary Collaboration Magnetic resonance imaging Schwannoma Sacrum medicine.disease Ovarian Cystadenoma SSS 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Medicine Radiology Sciatic nerve medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 47:3413-3417 |
| ISSN: | 1447-0756 1341-8076 |
| Popis: | Sciatic schwannomas (SSs) are extremely rare, and most are benign. Herein, we report a case of giant SSs in a woman who presented with abdominal pain. Because of the pain pattern and auxiliary examination findings, the patient was initially diagnosed with an ovarian cystadenoma. Magnetic resonance imaging (MRI) revealed an intrapelvic tumor. Histopathological examination confirmed that the mass was a benign intrapelvic schwannoma. Two days after complete tumor resection, the patients experience impaired mobility of the right lower limb. The tumor was 7 × 5.5 × 5 cm3 in size and in contact with the sacrum. The patient was followed up for up to 2 years. No evidence of recurrence was observed in the MRI scan. Severe damages to the sciatic nerve during surgery resulted in permanent neurological deficits. Hence, we also discuss the diagnostic tools and treatments for intrapelvic SSs, as well as the importance of careful radiological examination and multidisciplinary collaboration. |
| Databáze: | OpenAIRE |
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