Ilkhani Saba, Parvas Ehsan, Banar Sepideh, Refaei Meisam, Khoshnevis Jalalludin
Department of General and Vascular Surgery, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2022 Apr;93:106917. doi: 10.1016/j.ijscr.2022.106917. Epub 2022 Mar 4.
Retroperitoneal Schwannoma is unlikely to be considered in the differential diagnosis of a young patient with unexplained abdominal discomfort with no previous medical history. Tissue sampling is required for a definitive diagnosis.
A young male presented to the emergency room with abdominal pain. Imaging study and histopathological examination confirmed the diagnosis of retroperitoneal Schwannoma. Retrograde ejaculation has been discovered as a surgical complication in follow-ups.
This case is reported because of its rare clinical presentation and subsequent autonomic nerve dysfunction.
Schwannomas are tumors of neurological origin that can grow in any location where neurons exist, and complications related to the neighboring nervous plexus should always be expected. Although uncommon, retrograde ejaculation can occur after the surgery. It is essential to inform the patient about the possibility of these complications.
对于一名无既往病史且出现不明原因腹部不适的年轻患者，腹膜后神经鞘瘤不太可能被列入鉴别诊断范围。明确诊断需要进行组织采样。
一名年轻男性因腹痛就诊于急诊室。影像学检查和组织病理学检查确诊为腹膜后神经鞘瘤。随访中发现逆行射精是一种手术并发症。
报告该病例是因其罕见的临床表现及随后出现的自主神经功能障碍。
神经鞘瘤是起源于神经的肿瘤，可生长于存在神经元的任何部位，应始终预期与邻近神经丛相关的并发症。虽然不常见，但手术后可能发生逆行射精。告知患者这些并发症的可能性至关重要。
