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Title: Gastric schwannoma presenting with perforation and abscess formation: A case report and literature review
Authors: Chakrapan Euanorasetr
Weerapat Suwanthanma
Mahidol University
Keywords: Medicine
Issue Date: 1-Nov-2011
Citation: Journal of the Medical Association of Thailand. Vol.94, No.11 (2011), 1399-1404
Abstract: Gastric Schwannoma represent only 0.2% of all gastric tumors and 4% of all benign gastric neoplasms. They are usually asymptomatic but can present with variable symptoms. The authors report a case of a 29-year-old male patient who presented with fever and abdominal pain with epigastric mass. Pre-operative diagnosis was gastric lymphoma with perforation and an abscess formation. Hemigastrectomy with Billroth II anastomosis was performed. The pathologic examination and immunohistochemical studies confirmed gastric Schawannoma as the diagnosis. The post-operative course was uneventful. Gastric Schwannoma are difficult if not impossible to diagnose preoperatively as endoscopic and radiologic findings are nonspecific. The treatment of choice is complete surgical resection because of diagnostic uncertainty and the long-term outcome is excellent. This is the first report of gastric Schwannoma presenting with concealed perforation and an abscess formation. The literature was reviewed.
ISSN: 01252208
Appears in Collections:Scopus 2011-2015

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