Symptomatic Abdominal Wall Schwannoma Mimicking Infected Subcutanous Soft Tissue Lesion. A Case report
| Autor: | Jomana M. Felemban, Abdullah G. Alsahwan, Shahad Y. Assiri, Ali Ahmed Al-Zahir, Anas Al-Othman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Schwannoma Case Report Asymptomatic Abdominal wall Lesion 03 medical and health sciences 0302 clinical medicine Vascularity otorhinolaryngologic diseases Medicine business.industry Soft tissue food and beverages Histopathology Result medicine.disease Lumps medicine.anatomical_structure Benign 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Histopathology Radiology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Schwannomas are benign tumors of the nerve sheath, these tumors can present anywhere but mostly in the extremities, trunk, head and neck but can present in rare locations such as the abdominal wall. • Definitive diagnosis of the schwannomas without histopathology is nearly impossible and remain the cornerstone for diagnosis. • Complete surgical excision is the ultimate treatment of choice for these lesions. Introduction and importance Schwannomas are benign tumors of the nerve sheath, they do not typically present on the abdominal wall and cause symptoms. To the best of our knowledge, this is the second symptomatic case of schwannoma in upper abdominal wall reported according to the reviewed English medical literature. Case presentation A 25-year-old man post renal transplant two year ago. He presented with left hypochondrial painfull swelling, and redness. On examination, local examination revealed a lesion located in the anterior abdominal wall swelling, 3 × 3 cm, tender with minimal erythema and hotness but no discharge. An ultrasound showed superficial oval shaped with thick wall and mildly increased peripheral vascularity without internal vascularity. He underwent surgical excision and the histopathology result was schwannoma. Clinical discussion Usually, a patient presents asymptomatic with a slow growing mass. However, the symptoms can vary and depending on the location. Furthermore, a growing lump can start putting pressure on the nerves around the area, and patients can show symptoms accordingly. The likability of ultrasound to pick up a well-circumscribed mass and reaching a definitive diagnosis without histopathology is nearly impossible. Therefore, a complete excision and histopathology confirmed the presence of schwannoma. Conclusion Upon the rarity of schwannomas presenting in atypical regions, such as the abdominal wall. A painful mass on the abdominal wall should raise the suspicion of benign schwannoma. The recurrence rate after the treatment of choice is unusual. Moreover, complete surgical excision of the mass is the definitive treatment. |
| Databáze: | OpenAIRE |
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