Odisha Journal Of Social Science - V8-IS1

This paper is based on a rarest rare case of intra pelvic schwannoma of a 30year old female who was admitted with chief complains of painful menstruation , painful coitus and excessive blood loss during menstruation for last 2 years . Clinical examinations and imaging like cect , mri of abdomen and pelvis revealed an intrapelvic retroperitoneal mass . Patient underwent explorative laparotomy. A well encapsulated retroperitoneal mass was found completely filling the pelvis extending up to coccyx . The mass was lying posterior to the uterus and the cervix displacing these structures forward. Histopathology findings revealed a schwannoma .Pelvis schwannomas are known to arise from certain pelvic organs. However the present case didn’t have any organ involvement both on imaging and during surgical exploration. The tumor instead of arising from the nerve endings supplying an organ came from the nerve trunk at s1 s2 level growing gradually and feeling the whole pelvis with subsequent pressure effects on surrounding organs ..

Key words – Neurofibroma, Schwannoma, , Retroperitoneal , sacral hiatus , dyspareunia

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