A huge benign gastric schwannomas presented with upper and lower gastrointestinal bleeding: a case report and literature review

Author:

AlAli Mohammed N12ORCID,AlDayel Aya K12,Alshammari Afraj T3,Essa Mohamed S1245,AlAmodi Maha67,Alrashed Muath12,Amer Sadiq M8,Meaigel Mohammed A12,AlTahan Talal M12,Ahmad Khalid S12

Affiliation:

1. Department of Surgery , Prince Mohammed Bin Abdulaziz Hospital, , Riyadh , Saudi Arabia

2. Ministry of Health , Prince Mohammed Bin Abdulaziz Hospital, , Riyadh , Saudi Arabia

3. College of Medicine, Princess Nourah Bint Abdulrahman University , Riyadh , Saudi Arabia

4. General Surgery Department , Faculty of Medicine, , Benha , Egypt

5. Benha University , Faculty of Medicine, , Benha , Egypt

6. Department of Surgery , College of Medicine, , Abha , Saudi Arabia

7. King Khalid University , College of Medicine, , Abha , Saudi Arabia

8. Department of Pathology, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health , Riyadh , Saudi Arabia

Abstract

Abstract Gastric schwannomas (GS) are rare mesenchymal tumors from Schwann cells in the gastrointestinal (GI) tract, representing 2–6% of such tumors. We report a 52-year-old woman who experienced abdominal pain, hematemesis, and melena, initially suspected of having a GI stromal tumor through ultrasound and computed tomography abdomen. Despite no active bleeding found during an upper endoscopy, she underwent a successful open subtotal gastrectomy, with histopathology confirming GS. The diagnosis of GS, which may mimic other GI conditions, relies heavily on imaging and histopathological analysis due to its nonspecific symptomatology, including the potential for both upper and lower GI bleeding. This case underscores the diagnostic challenges of GS and highlights surgical resection as the preferred treatment, generally leading to a favorable prognosis.

Publisher

Oxford University Press (OUP)

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