Retroperitoneal Schwannoma: A Case Report and Review of the Literature

Abstract

A 45 years old woman admitted to our Hospital with pain in the right flank and right hypochondrium. Her abdominal USG and CT scan showed a large complex cystic mass present in the deep soft tissue compressing the right kidney. Multiple gall bladder stones were also found in imaging. Both the adrenal glands and left kidney had a normal appearance. The mass was completely resected with extended right subcostal incision along with excision of Gall bladder.Histopathological examination of the specimen revealed a degenerated schwannoma. Patient was discharged on 8 th day after operation without any complications. schwannoma misdiagnosed as a psoas abscess: report of case. Surg Today 2002; 32: 849-852.25. Schindler OS, Dixon JH, Case P. Retroperitoneal giant schwannomas: report on two cases and review of the literature.

Suspected Large Gall Bladder Mucocele Extending from Right Hypochondrium Up to Right Iliac Region Turned Out to be Gall Bladder Perforation in a Schizophrenic Patient: A Rare Case Report and Literature Review

“…Mucocele often manifests as chronic right upper quadrant pain, jaundice, fever, and palpable masses, while perforation usually presents acutely or subacutely with abdominal pain, peritonitis, shock, and sepsis [1,4]. These complications encompass bile peritonitis, abscess formation, fistulae, bowel obstruction, liver damage, and mortality, differentiating mucocele and perforation from other GB disorders in severity, prognosis, and management [2,5].…”

“…The prognosis of GB mucocele with perforation varies according to the patient's age, comorbidities, as well as the timing and quality of treatment. The mortality rate linked to GB mucocele and perforation spans between 10% and 30%, with morbidity rates fluctuating from 20% to 50% [1,2,5].…”

“…Moreover, educating both the patient and their family about the intricacies of physical and mental disorders, encompassing potential interactions and challenges, stands as a pivotal step in managing these intricate comorbidities. Furthermore, the selection of an optimal treatment modality mandates a detailed evaluation of the merits and demerits of each approach [5,6,8]. Continuous monitoring of the patient's response to treatment, adherence to medication protocols, and making essential adaptations are integral and ongoing facets of patient care.…”