Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway, Ireland
Department of Vascular and Endovascular Surgery, Galway Clinic, Galway, Ireland.
BMJ Case Rep. 2020 Jun 17;13(6):e233371. doi: 10.1136/bcr-2019-233371.
There are less than 150 cases of non-functioning retroperitoneal abdominal schwannoma (NRS) reported. Hormonal assay is crucial in confirming the diagnosis of NRS, as manipulation of a functional retroperitoneal paraganglioma will instigate an abrupt liberation of catecholamines, resulting in devastating consequences. We report the case of 42-year-old woman who presented with headache, night sweats and abdominal discomfort. Cross-sectional imaging demonstrated a retroperitoneal mass adherent to the aorta and inferior vena cava but biochemical testing of blood and urine was negative for metanephrines and normetanephrines. She underwent successful tumour resection via laparotomy, as location increased the complexity and risk of laparoscopic resection.
据报道，非功能性腹膜后腹腔 schwannoma（NRS）的病例不足 150 例。激素检测对于确认 NRS 的诊断至关重要，因为功能性腹膜后副神经节瘤的操作会突然释放儿茶酚胺，导致严重后果。我们报告了一位 42 岁女性的病例，她表现为头痛、盗汗和腹部不适。横断面成像显示腹膜后有一个肿块附着在主动脉和下腔静脉上，但血液和尿液的生化检测显示间甲肾上腺素和正常甲肾上腺素为阴性。她通过剖腹手术成功地进行了肿瘤切除，因为肿瘤的位置增加了腹腔镜切除的复杂性和风险。
