Abstract
It is very rare that uncommon presacral neurilemmoma is observed along with a teratoma in the ilpsilateral ovary. We report a case of a 66-year-old woman. She presented with fecal incontinence that had lasted 2 months; physical examination revealed no abnormalities. Imaging test results of the pelvis revealed cystic masses suspected of being mature teratomas in the left presacral area and left ovary. Laparoscopic left salpingo-oophorectomy and presacral mass excision were performed; the final pathological diagnosis was neurilemmoma in the presacral area and mature teratoma in the left ovary. Fecal incontinence resolved following surgery, and no adverse events were observed during or after the patient´s hospitalization. Benign neurilemmoma is noninvasive and must be differentiated histopathologically from another invasive peripheral nerve sheath tumor. Also, because neurilemomma observed in the presacral area can be confused with other gynecologic diseases, it is necessary for gynecologists to be aware of it.
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