Presacral Schwannoma Mascquerading as a Uterine Leiomyoma
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Abstract
Presacral tumors are a rare group of tumors located posterior to the rectum in the retrorectal or presacral space. Due to the lack of specific symptoms and difficult anatomic localization, they present a diagnostic and management challenge for the surgeons. We present a case of retrorectal schwannoma in a young female who was initially misdiagnosed as a uterine fibroid on ultrasound and taken up for myomectomy. The tumor was later successfully excised by a combined abdominosacral approach. The clinical features and management of presacral tumors are discussed in this article.
[1] Ghosh J, Eglinton T, Frizelle FA, Watson AJ. Presacral tumours in adults. Surgeon. 2007; 5(1):31-8. [DOI:10.1016/S1479-666X(07)80109-0][PMID]
[2] Lev-Chelouche D, Gutman M, Goldman G, Even-Sapir E, Meller I, Issa- kov J, et al. Presacral tumors: A practical classification and treatment of a unique and heterogeneous group of diseases. Surgery 2003; 133(5):473- 8. [DOI:10.1067/msy.2003.118] [PMID]
[3] Habib T, Hamdi JT, Hussain W, Almiamini W, Hamdi K, Wani AM, et al. Presacral schwannoma treated as irritable bowel syndrome. BMJ Case Reports. 2010; bcr0520102972. [DOI:10.1136/bcr.05.2010.2972] [PMID] [PMCID]
[4] Gutierrez O, Haj-Ibrahim H, Griffiths E, Olasky J. Presacral mass in the setting of an ovarian cyst and abdominal pain. BMJ Case Reports. 2017; bcr2017219803. [DOI:10.1136/bcr-2017-219803] [PMID] [PMCID]
[5] Özkardeş AB. Presacral schwannoma: A case report. Journal of Clinical and Analytical Medicine. 2014; 5(5):417-9 [DOI:10.4328/JCAM.823]
[6] Chen CH, Jeng CJ, Liu WM, Shen J. Retroperitoneal schwannoma mim- icking uterine myoma. Taiwanese Journal of Obstetrics and Gynecology. 2009; 48(2):176-7. [DOI:10.1016/S1028-4559(09)60282-5][PMID]
[7] Casey J, Curlin H. Sacral schwannoma mimicking a myoma uterus. Jour- nal of Minimally Invasive Gynecology. 2017; 24(7):1062. [DOI:10.1016/j. jmig.2017.01.013] [PMID]
[8] Hain KS, Pickhardt PJ, Lubner MG, Menias CO, Bhalla S. Presacral masses: Multimodality imaging of a multidisciplinary space. Radiographics. 2013; 33(4):1145-67. [DOI:10.1148/rg.334115171] [PMID]
[9] Wolpert A, Beer-Gabel M, Lifschitz O, Zbar AP. The management of pre- sacral masses in the adult. Techniques in Coloproctology. 2002; 6(1):43-9. [DOI:10.1007/s101510200008] [PMID]
[2] Lev-Chelouche D, Gutman M, Goldman G, Even-Sapir E, Meller I, Issa- kov J, et al. Presacral tumors: A practical classification and treatment of a unique and heterogeneous group of diseases. Surgery 2003; 133(5):473- 8. [DOI:10.1067/msy.2003.118] [PMID]
[3] Habib T, Hamdi JT, Hussain W, Almiamini W, Hamdi K, Wani AM, et al. Presacral schwannoma treated as irritable bowel syndrome. BMJ Case Reports. 2010; bcr0520102972. [DOI:10.1136/bcr.05.2010.2972] [PMID] [PMCID]
[4] Gutierrez O, Haj-Ibrahim H, Griffiths E, Olasky J. Presacral mass in the setting of an ovarian cyst and abdominal pain. BMJ Case Reports. 2017; bcr2017219803. [DOI:10.1136/bcr-2017-219803] [PMID] [PMCID]
[5] Özkardeş AB. Presacral schwannoma: A case report. Journal of Clinical and Analytical Medicine. 2014; 5(5):417-9 [DOI:10.4328/JCAM.823]
[6] Chen CH, Jeng CJ, Liu WM, Shen J. Retroperitoneal schwannoma mim- icking uterine myoma. Taiwanese Journal of Obstetrics and Gynecology. 2009; 48(2):176-7. [DOI:10.1016/S1028-4559(09)60282-5][PMID]
[7] Casey J, Curlin H. Sacral schwannoma mimicking a myoma uterus. Jour- nal of Minimally Invasive Gynecology. 2017; 24(7):1062. [DOI:10.1016/j. jmig.2017.01.013] [PMID]
[8] Hain KS, Pickhardt PJ, Lubner MG, Menias CO, Bhalla S. Presacral masses: Multimodality imaging of a multidisciplinary space. Radiographics. 2013; 33(4):1145-67. [DOI:10.1148/rg.334115171] [PMID]
[9] Wolpert A, Beer-Gabel M, Lifschitz O, Zbar AP. The management of pre- sacral masses in the adult. Techniques in Coloproctology. 2002; 6(1):43-9. [DOI:10.1007/s101510200008] [PMID]
| Files | ||
| Issue | Vol 7 No 1 (2022): January-February | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i1.9632 | |
| Keywords | ||
| Neurilemmoma Presacral tumor Schwannoma Leiomyoma | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Talwar N, Malik N, Andley M, Talwar P. Presacral Schwannoma Mascquerading as a Uterine Leiomyoma. CRCP. 2022;7(1):25-28.
