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Bleeding ileal schwannoma

R N Jadhav¹, R D Bapat, O S Rohondia

¹Department of General Surgery, Seth G S Medical College, Mumbai.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology

|October 1, 1996

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A rare case of ileal schwannoma, a benign tumor, presented with rectal bleeding. Surgical resection was successful, confirming the diagnosis through histopathology.

Area of Science:

Gastroenterology
Surgical Oncology
Pathology

Background:

Schwannomas are rare tumors typically arising from nerve sheath cells.
Gastrointestinal schwannomas are uncommon, with the small intestine being a rare site of occurrence.
Ileal schwannomas can present with nonspecific symptoms, including gastrointestinal bleeding.

Observation:

A patient presented with significant bleeding per rectum, prompting investigation.
A three-vessel angiogram identified a tumor blush in the mid-ileal region.
Surgical exploration revealed an intraluminal ileal mass with a mesenteric feeding vessel.

Findings:

Histopathological examination confirmed a benign schwannoma of the ileum.
The tumor involved the submucosa, muscularis propria, and serosa.

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Surgical resection with end-to-end anastomosis was the chosen treatment modality.

Implications:

This case highlights the importance of considering rare gastrointestinal tumors in the differential diagnosis of rectal bleeding.
Angiography can be a valuable tool in the preoperative diagnosis of ileal schwannoma.
Complete surgical resection is curative for benign ileal schwannomas.