8983 Pararectal Schwannoma Causing Pelvic Pain

Abstract

<h3>Study Objective</h3> To describe a surgical management of a very rare case of rectal schwannoma as cause of chronic pelvic pain and postoperative outcome. <h3>Design</h3> Video Presentation. <h3>Setting</h3> University tertiary care hospital. <h3>Patients or Participants</h3> 41-yo G0P0000 presents for evaluation of chronic pelvic pain for many months. Past medical history: Migraines, Anxiety disorder. Past Surgical History: Laparoscopic Hysterectomy and bilateral salpingectomy followed by right oophorectomy few months later. Physical exam: the cervix and uterus noted to be absent, no other abnormalities were found. <h3>Interventions</h3> Rectal Schwannoma is extremely rare and only 12 cases have been reported, our patient had already underwent total laparoscopic hysterectomy, bilateral salpingectomy and right oophorectomy for pelvic pain without relief, MRI was done and showed para rectal mass, laparoscopic resection of the mass was done. <h3>Measurements and Main Results</h3> At the 2-week postoperative follow up, the patient reported resolution of her painful symptoms. <h3>Conclusion</h3> Chronic pelvic pain is often a challenge to diagnose and to manage given the large number of etiologies, rectal schwannoma is extremely rare but can be the etiology behind pelvic pain, MRI helps with diagnosis and laparoscopic resection is possible with complete pain relief