Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2024; 12(11): 1947-1953
Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1947
Concomitant treatment of ureteral calculi and ipsilateral pelvic sciatic nerve schwannoma with transperitoneal laparoscopic approach: A case report
Yang Xiong, Jin Li, Han-Jie Yang
Yang Xiong, Jin Li, Han-Jie Yang, Department of Urology, Pingxiang People’s Hospital, Pingxiang 337000, Jiangxi Province, China
Author contributions: Xiong Y contributed to manuscript writing and editing; Li J contributed to data collection and data analysis; Yang HJ contributed to conceptualization and supervision. All authors have read and approved the final manuscript
Informed consent statement: The study participant and his legally authorized representative provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yang Xiong, MD, Chief Doctor, Department of Urology, Pingxiang People’s Hospital, No. 8 Wugong Mountain Middle Avenue, Pingxiang 337000, Jiangxi Province, China. xyurology@yeah.net
Received: November 4, 2023
Peer-review started: November 4, 2023
First decision: January 9, 2024
Revised: January 27, 2024
Accepted: March 12, 2024
Article in press: March 12, 2024
Published online: April 16, 2024
Processing time: 158 Days and 15.6 Hours
Abstract
BACKGROUND

Schwannomas are rare peripheral neural myelin sheath tumors that originate from Schwann cells. Of the different types of schwannomas, pelvic sciatic nerve schwannoma is extremely rare. Definite preoperative diagnosis of pelvic schwannomas is difficult, and surgical resection is the gold standard for its definite diagnosis and treatment.

CASE SUMMARY

We present a case of pelvic schwannoma arising from the sciatic nerve that was detected in a 40-year-old man who underwent computed tomography for intermittent right lower back pain caused exclusively by a right ureteral calculus. Subsequently, successful transperitoneal laparoscopic surgery was performed for the intact removal of the stone and en bloc resection of the schwannoma. The total operative time was 125 min, and the estimated blood loss was inconspicuous. The surgical procedure was uneventful. The patient was discharged on postoperative day 5 with the simultaneous removal of the urinary catheter. However, the patient presented with motor and sensory disorders of the right lower limb, caused by partial damage to the right sciatic nerve. No tumor recurrence was observed at the postoperative appointment.

CONCLUSION

Histopathological examination of the specimen confirmed the diagnosis of a schwannoma. Thus, laparoscopic surgery is safe and feasible for concomitant extirpation of pelvic schwannomas and other pelvic and abdominal diseases that require surgical treatment.

Keywords: Schwannoma; Sciatic nerve; Laparoscopy; Ureteral calculi; Pelvic neoplasms; Case report

Core Tip: Schwannomas are rare peripheral neural myelin sheath tumors originating from Schwann cells. Pelvic sciatic nerve schwannoma is extremely rare. The clinical manifestations of pelvic schwannomas may be asymptomatic, viscerally oppressive, or neurological due to compression or invasion of the original nerves. Definite preoperative diagnosis of pelvic schwannomas is difficult, and surgical resection is the gold standard for definite diagnosis and treatment. We present a case of pelvic schwannoma arising from the sciatic nerve that was detected in a 40-year-old man who underwent computed tomography for intermittent right lower back pain caused exclusively by a right ureteral calculus. Subsequently, successful transperitoneal laparoscopic surgery was performed for the intact removal of the stone and en bloc resection of the schwannoma. Laparoscopic surgery is safe and feasible for concomitant extirpation of pelvic schwannomas and other pelvic and abdominal diseases that require surgical treatment.