Rectal Schwannoma (Neurilemmoma)

Vijayasekaran, Aparna; Tsikitis, Vassiliki L.; Gardetto, Jennifer S.; Bracamonte, Erika; Cohen, Alfred M.

doi:10.1177/000313481207800214

Cited by 2 publications

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References 4 publications

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“…A loop colostomy is a stoma wherein the loop of colon is externalized. The proximal limb and the distal limb of the colon are made to open into a common stoma, and neither are transected allowing for an external opening [6] . When conducting a loop colostomy, preprocedural organization is vital when it comes to the placement of the stoma.…”

Section: Discussionmentioning

confidence: 99%

Loop colostomy to relieve debilitating chronic constipation in spina bifida patients: a case report

Kale

Chaudhry

Wazir³

et al. 2021

International Journal of Surgery: Global Health

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Introduction and importance: Spina bifida often results in neurogenic bowel dysfunction due to the loss of sensory and motor control of the gastrointestinal tract. This dysfunction further leads to the difficulty of emptying the bowel, resulting in constipation. Therefore, a complication of spina bifida is chronic constipation. Long-standing constipation greatly affects the quality of life. Chronic constipation leads to loss of social and work opportunities, causes severe discomfort, and increases the potential for several secondary complications such as hemorrhoids, anal fissures, and urinary incontinence. Several treatment measures can be considered to relieve chronic constipation in order to improve the quality of life of patients with spina bifida. Case presentation: The purpose of this report is to present a rare case of an adult patient with spina bifida who underwent a loop colostomy procedure as a treatment option for her debilitating chronic constipation symptoms. The patient’s chronic constipation and associated symptoms led to an immense decrease in quality of life. After several failed attempts at relieving constipation, a loop colostomy procedure was conducted. Clinical discussion: A loop colostomy is a surgical procedure leading to exteriorization of the colon. As seen in this case, a loop colostomy can be considered as a curative option for chronic constipation specifically in patients with spina bifida. The surgical procedure alleviated chronic constipation and its associated symptoms. Conclusion: Chronic constipation and associated symptoms in adult patients with spina bifida can be treated with a loop colostomy procedure. This procedure is an innovative and helpful option for these specific patients. The possibility of increased quality of life in patients with impairing symptoms makes the loop colostomy procedure an optimistic treatment option.

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Section: Discussionmentioning

confidence: 99%

Loop colostomy to relieve debilitating chronic constipation in spina bifida patients: a case report

Kale

Chaudhry

Wazir³

et al. 2021

International Journal of Surgery: Global Health

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Schwannoma of the colon and rectum: a systematic literature review

et al. 2018

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BackgroundSchwannomas of the colon and rectum are rare among gastrointestinal schwannomas. They are usually discovered incidentally as a submucosal mass on routine colonoscopy and diagnosed on pathologic examination of the operative specimen. Little information exists on the diagnosis and management of this rare entity.The aim of this study is to report a case of cecal schwannoma and the results of a systematic review of colorectal schwannoma in the literature.Main bodyPubMed, Scopus, and Cochrane database searches were performed for case reports and case series of colonic and rectal schwannoma.Ninety-five patients with colonic or rectal schwannoma from 70 articles were included. Median age was 61.5 years (59% female). Presentation was asymptomatic (28%), rectorrhagia (23.2%), or abdominal pain (15.8%). Schwannoma occurred in the left and sigmoid colon in 36.8%, in the cecum and right colon in 30.5%, and in the rectum in 21.1%. Median tumor size was 3 cm and 56.2% of patients who underwent preoperative colonoscopy had a typical smooth submucosal mass. At pathology, 97.9, 13.7, and 5.3% of schwannomas stained positive for S100, vimentin, and GFAP, respectively. The median mitotic index was 1/50.ConclusionsColorectal schwannoma is a very rare subtype of gastrointestinal schwannoma which occurs in the elderly, almost equally in men and women. Schwannoma should be included in the differential diagnosis of a submucosal lesion along with gastrointestinal stromal tumor, neuro-endocrine tumors, and leiomyoma-leiomyosarcoma. Definitive diagnosis is based on immunohistochemistry of the operative specimen. Rarely malignant, surgery is the mainstay of treatment.

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Rectal Schwannoma (Neurilemmoma)

Cited by 2 publications

References 4 publications

Loop colostomy to relieve debilitating chronic constipation in spina bifida patients: a case report

Loop colostomy to relieve debilitating chronic constipation in spina bifida patients: a case report

Schwannoma of the colon and rectum: a systematic literature review

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