Presacral Schwannoma Mascquerading as a Uterine Leiomyoma

Nikhil Talwar; Neeru Malik; Manoj Andley; Parul Talwar

doi:10.18502/crcp.v7i1.9632

Nikhil Talwar Department of Surgery, Lady Harding Medical College, New Delhi, India.
Neeru Malik Department of Obstetrics and Gynaecology, Dr Baba Saheb Ambedkar Medical College, Delhi, India.
Manoj Andley Department of Surgery, Lady Harding Medical College, New Delhi, India
Parul Talwar Department of Obstetrics and Gynaecology, Bhagwan Mahavir Hospital, Delhi, India.

DOI: https://doi.org/10.18502/crcp.v7i1.9632

Keywords: Neurilemmoma; Presacral tumor; Schwannoma; Leiomyoma

Abstract

Presacral tumors are a rare group of tumors located posterior to the rectum in the retrorectal or presacral space. Due to the lack of specific symptoms and difficult anatomic localization, they present a diagnostic and management challenge for the surgeons. We present a case of retrorectal schwannoma in a young female who was initially misdiagnosed as a uterine fibroid on ultrasound and taken up for myomectomy. The tumor was later successfully excised by a combined abdominosacral approach. The clinical features and management of presacral tumors are discussed in this article.