Sporadic abdominopelvic neurofibroma presenting with genitourinary symptoms: A case report

Abdominopelvic neurofibromas are very uncommon presentations, with only 60 reported cases in literature. We report a sporadic giant abdominopelvic neurofibroma in a 29-year-old male presenting with progressive abdominal distension, urinary frequency, and constipation. Imaging revealed a large heterogeneously enhancing pelvic mass compressing the rectum and urinary bladder, causing bilateral hydroureteronephrosis. Exploratory laparotomy with complete excision was performed successfully. Histopathology confirmed the mass as a neurofibroma. The postoperative course was uneventful, with no recurrence at 6-month follow-up. This case highlights the diagnostic challenges of sporadic pelvic neurofibromas and emphasizes the importance of imaging, histopathological evaluation, and complete surgical excision.