Journal of Medical Case Reports (Aug 2024)

Laparoscopic removal of retroperitoneal schwannoma in renal hilum: a case report

  • Shotaro Yamamoto,
  • Takashi Kawahara,
  • Tomoki Saito,
  • Takahiro Hanai,
  • Teppei Takeshima,
  • Koki Maeda,
  • Kazuhide Makiyama,
  • Hiroji Uemura

DOI
https://doi.org/10.1186/s13256-024-04698-7
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 5

Abstract

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Abstract Background Schwannomas in the renal hilum are rare among retroperitoneal tumors. However, the possibility of malignant findings cannot be ruled out, and surgery is often indicated. This case was expected to be difficult to remove laparoscopically because the tumor was sandwiched between the arteriovenous veins of the renal portal. Sometimes, the tumor should be resected with a conservative approach to the kidney to preserve the renal function. Case presentation Our patient was a 51-year-old Asian-Japanese man who was referred to our department for a retroperitoneal tumor in the renal hilum. Since malignancy could not be ruled out due to its size (45 × 48 × 55 mm) on imaging, the tumor was excised laparoscopically. Histopathology revealed schwannoma. Conclusions We herein report a case in which a renal hilar tumor between renal arteriovenous vessels was successfully resected laparoscopically.

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