Journal
JOURNAL OF MINIMAL ACCESS SURGERY
Volume 18, Issue 1, Pages 145-147Publisher
WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/jmas.JMAS_49_21
Keywords
Excision; laparoscopic; psoas muscle; schwannoma
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This case reports a rare occurrence of schwannoma in the psoas muscle, highlighting the feasibility and safety of minimally invasive treatment.
Schwannoma occurring in the psoas muscle is rare. We report a 49-year-old male who presented to the orthopaedic oncosurgery team with persistent lower back pain radiating to the right lower limb following a fall on the back a few months ago. Magnetic resonance imaging revealed a well-defined lesion in the right psoas muscle at the level of third lumbar vertebra (L3). He underwent a laparoscopic excision of this mass using one 10 mm and two 5 mm ports. Intraoperative frozen section after a complete excision showed this to be a benign schwannoma. He was discharged the day after surgery. His symptoms gradually reduced over a period of time and he remains well 3 years after surgery. This case highlights the feasibility and safety of minimally invasive treatment of this rare tumour.
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