Surgical management of ancient retroperitoneal schwannoma

• Published in: Annals of medicine and surgery 2022-07, Vol.79, Article 103934
• Main Authors: Harouachi, Abdelhakim, Khomsi, Nabil, Aabdi, Houssam, Akouh, Nada, Bouhout, Tariq, Bennani, Amal, Harroudi, Tijani EL, Serji, Badr
• Format: Article
• Language: English
• Subjects: Case Report; Complete resection; Retroperitoneal mass; Retroperitoneal Schwannoma
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2022.103934

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. •Schwannomas are benign and rare entities of peripheral nerve sheath origin.•They do not lead to an invasion of the adjacent structures; however the compression and displacement of the retroperitoneal organs are marked as complications of increasing in size of these entities.•The total excision is the sole treatment for retroperitoneal schwannoma.