Year 2015; Volume 1; Issue 4

A rare case of ancient schwannoma of the lesser sac

Author: Dr. Jagadish B. Hedawoo, Dr. Vinod N. Rathod & Dr. Sameer M. Halageri*

Department of Surgery, Government Medical College, Nagpur, Maharashtra, India.-440029

Abstract:
We report a case of ancient schwannoma of the lesser sac in a 35 year old man who presented with a 6 months history of pain in upper abdomen and early satiety. On examination he had a vague lump in the epigastrium. CT scan revealed a solid mass lesion located in the lesser sac. The mass was surgically resected and our patient has been well since. Histopathology and immunohistochemistry were suggestive of ancient schwannoma. Postoperatively, Patient is asymptomatic after 3 months. This case draws the reader’s attention to an extremely rare condition of ancient schwannoma presenting as an intra abdominal mass located in the lesser sac and that may mimic other sinister lesions, and highlights the pitfalls of diagnosis. Depending on the size and extent of the lesion, imaging may assist in characterisation of a schwannoma of the lesser sac. Ancient schwannoma has to be differentiated from gastro intestinal stromal tumor since its clinical course and management differs.
Keywords: Ancient schwannoma, lesser sac, Epigastrium, Histopathology and immunohistochemistry


Dr. Sameer M. Halageri*
Department of Surgery, Government Medical College, Nagpur, Maharashtra, India.-440029
Article Type : Case Studies
Date : 2015-09-29
No of Downloads : 666