Case Report
 
Huge retroperitoneal schwannoma in a young male
Khaled Ben Ahmed1, Faouzi Mallat1, Wissem Hmida1, Sidiya Oueld Chavey2, Amel Ben Abdallah2, Kalthoum Tlili2
1Urology Department, Sahloul Hospital, Sousse.
2Radiology Department, Farhat Hached Hospital, Sousse.

doi:10.5348/ijcri-201482-CR-10393

Address correspondence to:
Dr. Khaled Ben Ahmed
Department of Urology
Hospital of Sahloul, Sousse
Tunisia
Phone: 0021620147513
Email: khaledbahmed@hotmail.com

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How to cite this article
Ahmed KB, Mallat F, Hmida W, Chavey SO, Abdallah AB, Tlili K. Huge retroperitoneal schwannoma in a young male. Int J Case Rep Images 2014;5(6):431–434.


Abstract
Introduction: Schwannomas are benign tumors mostly found in the head and neck regions. Localization in the retroperitoneal area is rare.
Case Report: We report a case of a 19-year-old male presented to our department complaining of right abdominal pain. An abdominal computed tomography (CT) scan showed a large retroperitoneal mass of 17 cm in diameter. The patient had an ultrasound-guided needle biopsy of the mass and histopathology and immunohistochemistry revealed a schwannoma. Tumor excision was performed through lumbotomy. Histopathological examination confirmed the diagnosis of benign schwannoma. After three years, at follow-up the patient was free of disease.
Conclusion: Retroperitoneal schwannoma is a difficult clinical diagnosis and requires a high index of suspicion. Magnetic resonance imaging scan may help in the diagnosis of schwannoma and diagnosis is based on histopathologic examination and immunohistochemistry. Total excision has a therapeutic effect and a good prognosis.

Keywords: Retroperitoneal, Schwannoma, Total excision


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Author Contributions
Khaled Ben Ahmed – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Faouzi Mallat – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Wissem Hmida – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Sidiya Oueld Chavey – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amel Ben Abdallah – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kalthoum Tlili – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Khaled Ben Ahmed et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Khaled Ben Ahmed is currenty a Resident in Urology at Department of Urology and Kidney Transplantation Sahloul, University of Sousse of Medicine. His research interests include sexology and oncology.