Surgical management of retroperitoneal cystic Schwannoma complicated by retrograde ejaculation - Case report

• Published in: International journal of surgery case reports 2022-04, Vol.93, p.106917-106917, Article 106917
• Main Authors: Ilkhani, Saba, Parvas, Ehsan, Banar, Sepideh, Refaei, Meisam, Khoshnevis, Jalalludin
• Format: Article
• Language: English
• Subjects: Benign; Case Report; Retrograde ejaculation; Retroperitoneal Schwannoma
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2022.106917

Retroperitoneal Schwannoma is unlikely to be considered in the differential diagnosis of a young patient with unexplained abdominal discomfort with no previous medical history. Tissue sampling is required for a definitive diagnosis. A young male presented to the emergency room with abdominal pain. Imaging study and histopathological examination confirmed the diagnosis of retroperitoneal Schwannoma. Retrograde ejaculation has been discovered as a surgical complication in follow-ups. This case is reported because of its rare clinical presentation and subsequent autonomic nerve dysfunction. Schwannomas are tumors of neurological origin that can grow in any location where neurons exist, and complications related to the neighboring nervous plexus should always be expected. Although uncommon, retrograde ejaculation can occur after the surgery. It is essential to inform the patient about the possibility of these complications. •Retroperitoneal schwannomas are uncommon tumors with a difficult pre-operative diagnosis.•Patients may present with nonspecific symptoms such as vague abdominal pain or genitourinary symptoms•The treatment of choice is complete surgical excision.•Prognosis is good but further follow up is necessary for further neurological complications