Small bowel schwannoma revealed during an inguinal hernia: a case report

Journal of Medical Case Reports

Hassan Taoufik Chtata¹  Mustafa Taberkant¹  Khalid Sair²  Jihad Elghanmi³  Hakim Elkaoui²  Youssef Tijani¹  Aziz Zentar² 

[1] Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University of Rabat, Street corner souss-qahira, Nuild 16, N°6 Kenitra, Rabat, Morocco;Department of Digestive Surgery, Mohammed V Military Hospital, Mohammed V University of Rabat, Rabat, Morocco;Department of Urology B, Avicenne University Hospital, Rabat, Morocco

关键词: Small bowel;    Schwannoma;    Inguinal hernia;   

Others  :  1181065
DOI  :  10.1186/1752-1947-8-287

 received in 2014-03-06, accepted in 2014-07-21,  发布年份 2014

【 摘 要 】

Introduction

The association of bowel tumor and inguinal hernia is rare. We report according to our research the first case of the migration of a small bowel schwannoma into an inguinal hernia.

Case presentation

We report the case of a 51-year-old Moroccan malen admitted for a non-reducible right inguinal hernia in which surgical exploration showed the presence of a small bowel tumor that had migrated into his hernia sac. A histopathological examination of the tumor was in favor of a small bowel schwannoma.

Conclusion

Small bowel schwannoma is an exceptional clinical entity for which the diagnosis is difficult; its confirmation needs histological and immunohistochemical studies.

【 授权许可】

   
2014 Zentar et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】

• [1]McFayden BV, Mathis CR: Inguinal herniorrhaphy: complications and recurrences. Semin Laparosc Surg 1994, 1:128-140.
• [2]Habib FA, McAleese P, Kolachalam RB: Laparoscopic approach to the management of incarcerated hernia of appendices epiploicae: report of two cases and review of the literature. Surg Laparosc Endosc 1998, 8:425-428.
• [3]Oruc MT, Akbulut Z, Ozozan O, Coskun F: Urological findings in inguinal hernias: a case report and review of the literature. Hernia 2004, 8:76-79.
• [4]Yoell JH: Surprises in inguinal hernial sacs, diagnosis of tumors by microscopic examination. Calif Med 1959, 91:146-148.
• [5]Lejar J: Neoplasmesherniairesetperi-herniaires. Gaz Hosp 1889, 62:801.
• [6]Nicholson CP, Donohue JH, Thompson GB, Lewis JE: A study of metastatic cancer found during inguinal hernia repair. Cancer 1992, 69:3008-3011.
• [7]Hale MDA, Solla MJA: Complete colonic obstruction caused by a sigmoid colon cancer incarcerated in an inguinal hernia sac. South Med J 1991, 84:1280-1281.
• [8]Lowenfels AB, Ahmed N, Rohman M, Lefkowitz M: Hernia-sac cancer. Lancet 1969, I:651.
• [9]Terezis NL, Dawis WC, Jackson FC: Carcinoma of colon associated with inguinal hernia. New Eng J Med 1963, 268:774-776.
• [10]Wlodarczyk A, Bielecki K, Ciesielski A, Kozicki I: Coexistence of left inguinal hernia and left colon cancer – a case report and literature review. Mater Med Pol 1996, 28:33-34.
• [11]Geelhoed GW, Millar RC, Ketcham AS: Hernia presentation of cancer in the groin. Surgery 1974, 75:436-441.
• [12]Bedossa P, Martin E: Quoi de neufsur les tumeursconjonctives du tube digestif? Ann Pathol 1994, 14:350-356.
• [13]Prevot S, Bienvenu L, Vaillant JC, Saint-Maur PP: Benign schwannoma of the digestive tract: a clinicopathologic and immunohistochemical study of five cases, including a case of esophageal tumor. Am J Surg Pathol 1999, 23:431-436.
• [14]Sarlomo-Rikala M, Miettinen M: Gastric schwannoma: a clinicopathological analysis of six cases. Histopathology 1995, 27:355-360.
• [15]Miettinen M, Shekitka KM, Sobin LH: Schwannomas in the colon and rectum: a clinicopathologic and immunohistochemical study of 20 cases. Am J Surg Pathol 2001, 25:846-855.
• [16]Daimaru Y, Kido H, Hashimoto H, Enjoji M: Benign schwannoma of the gastrointestinal tract: a clinicopathologic and immunohistochemical study. Hum Pathol 1988, 19:257-264.
• [17]Nabeya Y, Watanabe Y, Tohnosu N, Yamazaki M, Matsuda M, Akutsu N: Diffuse schwannoma involving the entire large bowel with huge extramural development: report of a case. Surg Today 1999, 29:637-641.
• [18]Iwamoto CA, Garcia CF, Razzak M: Pathologic quiz case: A 23-year-old woman with a polypoid gastric mass. Arch Pathol Lab Med 2003, 127:e43-e44.
• [19]Miettinen M, Lasota J: Gastrointestinal stromal tumors – definition, clinical, histological, immunohistochemical, and molecular genetic features and differential diagnosis. Virchows Arch 2001, 438:1-12.
• [20]Jacobson BC, Hirsch MS, Lee JH, Van Dam J, Shoji B, Farraye FA: Multiple asymptomatic plexiformschwannomas of the sigmoid colon: a case report and review. Gastrointest Endosc 2001, 53:801-804.
• [21]Balaton AJ, Coindre JM, Cvitkovic F: Tumeursstromales digestives. Gastroenterol Clin Biol 2001, 25:473-482.