Surgical management of retroperitoneal cystic Schwannoma complicated by retrograde ejaculation - Case report.

INTRODUCTION AND IMPORTANCE: Retroperitoneal Schwannoma is unlikely to be considered in the differential diagnosis of a young patient with unexplained abdominal discomfort with no previous medical history. Tissue sampling is required for a definitive diagnosis. CASE PRESENTATION: A young male presented to the emergency room with abdominal pain. Imaging study and histopathological examination confirmed the diagnosis of retroperitoneal Schwannoma. Retrograde ejaculation has been discovered as a surgical complication in follow-ups. CLINICAL DISCUSSION: This case is reported because of its rare clinical presentation and subsequent autonomic nerve dysfunction. CONCLUSION: Schwannomas are tumors of neurological origin that can grow in any location where neurons exist, and complications related to the neighboring nervous plexus should always be expected. Although uncommon, retrograde ejaculation can occur after the surgery. It is essential to inform the patient about the possibility of these complications.

Ruptured aneurysm of the splenic artery: a rare cause of abdominal pain after blunt trauma.

INTRODUCTION: Splenic artery aneurysms (SAAs) are rare (0.2-10.4%); however, they are the most common form of visceral artery aneurysms. Splenic artery aneurysms are important to identify, because up to 25% of the cases are complicated by rupture. Post- rupture mortality rate is 25% -70% based on the underlying cause. Herein we present a young patient with abdominal pain after blunt abdominal trauma due to rupture of an SAA. CASE PRESENTATION: A 27-year-old male, without a remarkable medical history, who suffered from abdominal pain for 2 days after falling was admitted to the emergency department with hypovolemic shock. Upon performing emergency laparotomy a ruptured splenic artery aneurysm was found. CONCLUSIONS: It is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.

Deep femoral artery branch pseudoaneurysm after orthopedic procedure requiring surgical treatment: a case report.

Pseudoaneurysms (PSA) of deep femoral artery (DFA) have been reported following penetrating and blunt trauma to the thigh and orthopedic procedures of the proximal femur. We describe a case of pseudoaneurysm of DFA as a late complication of limb trauma which was confirmed by exploration in an urgent surgery. After two operations successful surgical repair was performed.