A case report of rectal schwannoma treated with laparoscopic proctectomy. Issue 7 (February 2018)

• Record Type: Journal Article
• Authors: Zhang, Kai; Qu, Shanshan; Li, Junan; Cheng, Ye; Shi, Jian; Liu, Tongjun
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 7(2018)
• Publication Date: 2018-02
• Subjects: immunohistochemical staining -- laparoscopic surgery -- rectal neoplasm -- schwannoma; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000009866
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Schwannomas of gastrointestinal tracts are rare and difficult to detect preoperatively because of negative results of endoscopic and imaging examinations. Here, we reported a case of rectal schwannoma, which was diagnosed by immunohistochemical staining after laparoscopic protectomy. Patient concerns: A 61-year-old woman complained of a 1-month history of difficulty in defecation and irregularly abdominal discomfort during her physical checkup in our hospital. Diagnoses: Immunohistochemical staining results after laparoscopic protectomy revealed a strong positive reaction for S-100 protein. Therefore, rectal schwannoma was confirmed. Interventions: Treatment with laparoscopic protectomy was given. Outcomes: Symptoms resolved completely after 12 days of the surgery, and was regular followed-up in outpatient clinic. Lessons: Schwannomas are difficult to identify preoperatively, and immunohistochemical staining for S-100 protein is an effective method to diagnose it.