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UNUSUAL CASE
Ahead of Print

Laparoscopic excision of a schwannoma arising in the psoas muscle


1 Department of Minimal Access Surgery, P D Hinduja National Hospital, Mumbai, Maharashtra, India
2 Department of Orthopaedic Oncosurgery, P D Hinduja National Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Deepraj Bhandarkar,
Department of Minimal Access Surgery, P D Hinduja National Hospital, Veer Savarkar Road, Mahim, Mumbai - 400 016, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_49_21

Schwannoma occurring in the psoas muscle is rare. We report a 49-year-old male who presented to the orthopaedic oncosurgery team with persistent lower back pain radiating to the right lower limb following a fall on the back a few months ago. Magnetic resonance imaging revealed a well-defined lesion in the right psoas muscle at the level of third lumbar vertebra (L3). He underwent a laparoscopic excision of this mass using one 10 mm and two 5 mm ports. Intraoperative frozen section after a complete excision showed this to be a benign schwannoma. He was discharged the day after surgery. His symptoms gradually reduced over a period of time and he remains well 3 years after surgery. This case highlights the feasibility and safety of minimally invasive treatment of this rare tumour.


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    -  Premchandani D
    -  Singh MP
    -  Verma N
    -  Agarwal M
    -  Bhandarkar D
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04