Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature
Ancient Schwannoma, though benign, can cause diagnostic dilemma because of its clinical presentation and imaging features. We report the management of a giant retroperitoneal schwannoma in a 19-year-old young lady who presented with lower abdominal distension. CT scan reported a large heterogenous...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/781347 |
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| author | Santhosh Kuriakose Syam Vikram Surij Salih Satheesan Balasubramanian Nizamudeen Mangalasseri Pareekutty Sangeetha Nayanar |
| author_facet | Santhosh Kuriakose Syam Vikram Surij Salih Satheesan Balasubramanian Nizamudeen Mangalasseri Pareekutty Sangeetha Nayanar |
| author_sort | Santhosh Kuriakose |
| collection | DOAJ |
| description | Ancient Schwannoma, though benign, can cause diagnostic dilemma because of its clinical presentation and imaging features. We report the management of a giant retroperitoneal schwannoma in a 19-year-old young lady who presented with lower abdominal distension. CT scan reported a large heterogenous lesion in the abdominopelvic retroperitoneum (42 cm × 16 cm × 16 cm) as a malignant tumor. The unique problems we encountered were the enormous size, the location of major part of the tumor in the pelvis, the need for fertility preservation, the external iliac vessels stretching over the tumor making mobilization surgically demanding, and the prospects of neurological deficits. An en bloc resection of schwannoma with common iliac, external iliac and internal iliac veins, internal iliac artery, femoral and obturator nerves, and iliopsoas muscle was done maintaining oncological principles. External iliac artery that was cut to facilitate tumor mobilization was reanastomosed at the end of the procedure. Postoperatively patient had uneventful recovery with patchy sensory loss, foot drop, and quadriceps weakness which was rehabilitated with a foot drop splint and active physiotherapy. |
| format | Article |
| id | doaj-art-6db4df7791db498cb51e26eb1fe02876 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-6db4df7791db498cb51e26eb1fe028762025-02-03T01:31:07ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/781347781347Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of LiteratureSanthosh Kuriakose0Syam Vikram1Surij Salih2Satheesan Balasubramanian3Nizamudeen Mangalasseri Pareekutty4Sangeetha Nayanar5Department of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaDepartment of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaDepartment of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaDepartment of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaDepartment of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaDepartment of Surgical Oncology, Malabar Cancer Centre, Moozhikkara P.O., Thalassery, Kannur, Kerala 670103, IndiaAncient Schwannoma, though benign, can cause diagnostic dilemma because of its clinical presentation and imaging features. We report the management of a giant retroperitoneal schwannoma in a 19-year-old young lady who presented with lower abdominal distension. CT scan reported a large heterogenous lesion in the abdominopelvic retroperitoneum (42 cm × 16 cm × 16 cm) as a malignant tumor. The unique problems we encountered were the enormous size, the location of major part of the tumor in the pelvis, the need for fertility preservation, the external iliac vessels stretching over the tumor making mobilization surgically demanding, and the prospects of neurological deficits. An en bloc resection of schwannoma with common iliac, external iliac and internal iliac veins, internal iliac artery, femoral and obturator nerves, and iliopsoas muscle was done maintaining oncological principles. External iliac artery that was cut to facilitate tumor mobilization was reanastomosed at the end of the procedure. Postoperatively patient had uneventful recovery with patchy sensory loss, foot drop, and quadriceps weakness which was rehabilitated with a foot drop splint and active physiotherapy.http://dx.doi.org/10.1155/2014/781347 |
| spellingShingle | Santhosh Kuriakose Syam Vikram Surij Salih Satheesan Balasubramanian Nizamudeen Mangalasseri Pareekutty Sangeetha Nayanar Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature Case Reports in Medicine |
| title | Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature |
| title_full | Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature |
| title_fullStr | Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature |
| title_full_unstemmed | Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature |
| title_short | Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature |
| title_sort | unique surgical issues in the management of a giant retroperitoneal schwannoma and brief review of literature |
| url | http://dx.doi.org/10.1155/2014/781347 |
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