Ancient schwannomas are a rare entity of benign cutaneous nerve sheath tumor in patients without von Recklinghausen disease. Head and neck, mediastinal, retroperitoneal ancient schwannomas have been reported and has high degree for malignant transformation. Ancient schwannoma of the peripheries have been reported in only few cases and in hand only two cases have been reported. We present this case for its rarity and the diagnostic dilemma occurring with FNAC. Thus these tumors if present in periphery and in non-neurofibromatosis patient can masquerade as malignant tumors but still can safely are treated with excision biopsy alone and with almost nil recurrence.
High degree suspicion is mandatory in dealing with a post-operative patient presenting with a crampy postprandial abdominal pain, as potential for internal hernias remains fairly under diagnosed. Except in setting of small bowel obstruction or gangrene and radiological proven internal hernia, intervening a patient with herald symptoms is still debatable, though certain authors advocate that in lap. Roux-en Y gastric bypass patients with herald symptoms should promptly be offered elective laparoscopic exploration elective repair safely and expeditiously.
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