Asunto(s)
Eritema/diagnóstico , Mano/patología , Neurilemoma/diagnóstico , Neoplasias Cutáneas/diagnóstico , Adolescente , Eritema/complicaciones , Eritema/cirugía , Femenino , Mano/cirugía , Humanos , Neurilemoma/complicaciones , Neurilemoma/cirugía , Neoplasias Cutáneas/complicaciones , Neoplasias Cutáneas/cirugía , Factores de TiempoRESUMEN
We present a rare case of retroperitoneal cystic schwannoma of the pelvis in a patient with Hansen's disease that mimicked an ovarian cyst. Due to economic constraints and because the lesion was assumed to be of ovarian origin, the patient did not undergo any cross-sectional imaging other than sonography. Sonographically guided fine needle aspiration of the cystic lesion was inconclusive. A cystic schwannoma was diagnosed at laparotomy.
Asunto(s)
Lepra/complicaciones , Neurilemoma/diagnóstico por imagen , Quistes Ováricos/diagnóstico , Neoplasias Retroperitoneales/diagnóstico por imagen , Anciano , Diagnóstico Diferencial , Femenino , Estudios de Seguimiento , Humanos , Laparotomía/métodos , Lepra/patología , Neurilemoma/patología , Neurilemoma/cirugía , Fotomicrografía , Neoplasias Retroperitoneales/patología , Neoplasias Retroperitoneales/cirugía , UltrasonografíaRESUMEN
The author present his experience of the repair of nerve lesions in the lower limb. The cases are classified into four main groups: traumatic lesions; acute and chronic compression; tumours and leprosy. The traumatic lesions include those associated with a clean wound, missile injuries, traction injuries and a miscellaneous group. The diagnosis and treatment of the different lesions are discussed. The results of nerve grafting using microsurgical techniques are presented. The results are good enough, even in severe traction injuries, to recommend the repair of nerve lesions of the lower limbs in the circumstances which are outlined.