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Case Studies | Surgery | India | Volume 13 Issue 2, February 2024 | Popularity: 4.6 / 10

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A Case of Isolated, Giant Pelvic Neurofibroma

Dr. Anirban Hazra, Dr. Arnab Mandal, Dr. Udayan Chandra, Dr. Riddhisundar Samanta, Dr. Subhabrata Das

Abstract: A 62-year old male presented with a slow-growing, right buttock swelling, with both constipation and incontinence, the latter related to surgery performed by a quack, for anal fistula. It was elastic in feel, and per rectal examination revealed extrinsic compression of anal canal. CT and MRI scans revealed a large, dumb-bell shaped, well-encapsulated pelvic mass with perianal extension; FNAC and Core-needle biopsy were inconclusive. Patient underwent perineal exploration, to yield a large, well-encapsulated mass, with no apparent major pedicles or attachments; patient recovered with no additional morbidity. Histo-pathological examination revealed a neurofibroma. Reports of pelvic neurofibromas are uncommon, though these can arise from any pelvic organ, usually in association with neurofibromatosis. Our case was atypical, in having no apparent origin from any major organ, and bearing no other stigma of neurofibromatosis.

Keywords: CT, Computed tomography, MRI - Magnetic resonance imaging, FNAC- Fine needle aspiration cytology

Edition: Volume 13 Issue 2, February 2024

Pages: 165 - 167

DOI: https://www.doi.org/10.21275/SR24131142216

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