Giant sacral schwannoma causing bilateral hydronephrosis: Case report and review of the literature

dc.authorid0000-0003-0467-7521
dc.authorid0000-0003-0428-2511
dc.authorid0000-0003-0128-6947
dc.contributor.authorTahta, Alican
dc.contributor.authorDinç, Cem
dc.contributor.authorÖzdenkaya, Yaşar
dc.contributor.authorÇakır, Aslı
dc.date.accessioned2020-10-30T06:07:48Z
dc.date.available2020-10-30T06:07:48Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Tıbbi Patoloji Ana Bilim Dalı
dc.description.abstractBACKGROUND: Giant sacral schwannomas are very rare, and less than 1%-5% of spinal schwannomas are found in the sacral region. These frequently grow to considerable size because of permissive anatomic location and benign, slow growth of tumor. They can be unnoticed before reaching a huge size.CASE DESCRIPTION: We report a rare case of a giant sacral schwannoma in a 46-year-old man. The patient presented with difficulty in passing urine, episodic constipation, and swelling of the right lower extremity for 6 months. Magnetic resonance imaging revealed 160 x 110 x 110 mm encapsulated heterogenous solid mass originated from left S1 spinal nerve extending into the pelvis and abdomen. Sigmoid colon and rectum were displaced to the right side, and bladder was displaced anteriorly. Left side of the S1 and S2 vertebral bodies, left S1 and S2 neural foramen were also eroded. It also compressed ureters causing bilateral hydronephrosis. The patient underwent a 2-stage procedure in which complete resection was achieved.CONCLUSIONS: We report the second case of a completely resected giant sacral schwannoma with bilateral hydronephrosis in the literature. Performing a 2-stage procedure is important in giant sacral schwannomas. Morbidity can be minimized, and extent of resection can be maximized with the help of combined anterior/posterior approach.
dc.identifier.citationTahta, A., Dinç, C., Özdenkaya, Y. ve Çakır, A. (2020). Giant sacral schwannoma causing bilateral hydronephrosis: Case report and review of the literature. World Neurosurgery, 142, 184-187. https://dx.doi.org/10.1016/j.wneu.2020.06.213
dc.identifier.doi10.1016/j.wneu.2020.06.213
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.issue184
dc.identifier.scopusqualityQ2
dc.identifier.startpage187
dc.identifier.urihttps://dx.doi.org/10.1016/j.wneu.2020.06.213
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5986
dc.identifier.volume142
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofWorld Neurosurgeryen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectGiant
dc.subjectHydronephrosis
dc.subjectSacrum
dc.subjectSchwannoma
dc.subjectSurgical Treatment
dc.titleGiant sacral schwannoma causing bilateral hydronephrosis: Case report and review of the literature
dc.typeReview Article

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