41-year-old male patient presented with a history of abdominal enlargement and stiffening in the abdomen.
A 41-year-old male patient presented with abdominal enlargement and stiffening because of a presence of masses in the abdomen. The patient was diagnosed with pelvic schwannoma.
For further evaluation, the patient was asked to undergo routine laboratory tests. He presented with no other symptoms. The patient was referred for surgery for removal of the mass. He was administered antibiotics preoperatively. The mass removed measured 25 cm in diameter. The pelvic schwannoma was detected in the retroperitoneum that had displaced the sigmoid colon to the right. The sigmoid and mesosigmoid were gradually separated from the mass and the peritoneum was opened for accessing the mass.
The patient was discharged the next day, after making sure that Ileus was not present. He did not show any complications, for example, impotency, urinary and stool incontinence following surgery. Moreover, he did not report of any recurrence of the mass at follow-up.
Pelvic schawnnoma
Schwannomas are benign tumours that commonly occur in the head, neck, mediastinum and extremities. The tumours are benign and very rarely found in the pelvis. They are often difficult to diagnose because of the nonspecific clinical and radiological signs and can mimic a number of different pelvic lesions [1]. The tumours may undergo necrosis and cystic degeneration. Surgical excision is the treatment of choice and open excision is commonly performed because of the size of the tumour.
References
- Cystic schwannoma of the pelvis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964667/
