Surgical management of ancient retroperitoneal schwannoma

Abdelhakim Harouachi; Nabil Khomsi; Houssam Aabdi; Nada Akouh; Tariq Bouhout; Amal Bennani; Tijani El Harroudi; Badr Serji

doi:10.1016/j.amsu.2022.103934

Surgical management of ancient retroperitoneal schwannoma

Ann Med Surg (Lond). 2022 Jun 6:79:103934. doi: 10.1016/j.amsu.2022.103934. eCollection 2022 Jul.

Authors

Abdelhakim Harouachi^{1

2}, Nabil Khomsi^{1

2}, Houssam Aabdi^{1

2}, Nada Akouh^{2

3}, Tariq Bouhout^{1

2}, Amal Bennani^{2

3}, Tijani El Harroudi^{1

2}, Badr Serji^{1

2}

Affiliations

¹ Surgical Oncology Department, Regional Oncology Center, Mohammed VI University Hospital, Oujda, Morocco.
² Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda, Morocco.
³ Department of Pathology, Mohammed VI University Hospital, Oujda, Morocco.

Abstract

Schwannomas are benign and rare entities of peripheral nerve sheath origin. The clinical presentation depends the size of tumor, and they may cause symptoms of abdominal pain, urinary difficulties, anemia, hematuria, and abdominal mass as a result of the pressure of the tumor to the adjacent structures. The diagnosis can only be established by immunohistochemical study. Complete surgical clearance remains the mainstay of treatment. We report the case of a 35-year-old female patient consulted for chronic abdominal pain. Abdominal ultrasound and abdomino-pelvic CT scan identified a well-delineated, heterogenous retroperitoneal mass developed in anteraortocaval region measuring 55 × 65 × 88 mm. The lesion seemed to repress the inferior vena cava, and enhanced with contrast administration. The histopathological panel confirmed the diagnosis of retroperitoneal schwannoma.

Keywords: Complete resection; Retroperitoneal Schwannoma; Retroperitoneal mass.

Publication types

Case Reports