Ileal Schwannoma: A Rare Cause of Pelvic Mass

Autor: Martin Jezovit, Hasan Bakirli, Ifrat Bakirov, Khalid Hureibi, Gultakin Bakirova, Roman Okolicany, Pavol Janac, Iveta Meciarova, Nasser Alhwaymel, Ilkin Bakirli, Augustin Prochotsky
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Case Reports in Surgery, Vol 2024 (2024)
Druh dokumentu: article
ISSN: 2090-6919
DOI: 10.1155/2024/5572087
Popis: 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.
Databáze: Directory of Open Access Journals
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