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Case report: mesenteric schwannoma.

Bulent Kilicoglu1, Kemal Kismet, Avni Gollu

  • 1Department of 4th General Surgery, Ankara Training and Research Hospital, Ankara, Turkey.

Advances in Therapy
|December 5, 2006
PubMed
Summary
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Mesenteric schwannomas, rare tumors of peripheral nerve sheath cells, can present as acute abdominal emergencies. This case highlights a large mesenteric schwannoma causing bowel obstruction, successfully treated with surgical excision.

Area of Science:

  • Oncology
  • Gastroenterology
  • Pathology

Background:

  • Schwannomas are benign neurogenic tumors originating from Schwann cells of peripheral nerves.
  • Typically found in soft tissues, they are exceptionally rare in the mesentery.

Observation:

  • A 56-year-old male presented with acute abdominal pain, nausea, vomiting, and constipation, indicative of a mechanical bowel obstruction.
  • Physical examination revealed a distended abdomen with a palpable 15 cm intra-abdominal mass.
  • Radiographs and ultrasonography confirmed an intra-abdominal mass with signs suggestive of hemorrhage or perforation.

Findings:

  • Surgical exploration and excision of the mass were performed, involving a segment of densely adhered intestine.
  • Histopathologic and immunohistochemical analysis confirmed the diagnosis of a mesenteric schwannoma.

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  • The patient recovered well 11 months post-surgery.

    • Implications:

    • This case underscores that although rare and often asymptomatic, mesenteric schwannomas can grow large and manifest as acute abdominal conditions.
    • Early recognition and surgical intervention are crucial for managing symptomatic mesenteric schwannomas.
    • Further research into the presentation and management of rare intra-abdominal tumors is warranted.