American Journal of Clinical Medicine Research
ISSN (Print): 2328-4005 ISSN (Online): 2328-403X Website: Editor-in-chief: Dario Galante
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American Journal of Clinical Medicine Research. 2014, 2(1), 4-7
DOI: 10.12691/ajcmr-2-1-2
Open AccessCase Report

Pancreatic Schwannoma Presenting as Gastric Outlet Obstruction- A Rare Presentation

Kumar Jayant1, , Swati Agrawal2 and Rajendra Agarwal3

1Department of Surgery, Sudha Hospital &Medical Research Centre, Talwandi, Kota, Rajasthan, India

2Sudha Hospital & Medical Research Centre Kota, Rajasthan, India

3Department of Surgery, Sudha Hospital &Medical Research Centre Kota, Rajasthan, India

Pub. Date: January 16, 2014

Cite this paper:
Kumar Jayant, Swati Agrawal and Rajendra Agarwal. Pancreatic Schwannoma Presenting as Gastric Outlet Obstruction- A Rare Presentation. American Journal of Clinical Medicine Research. 2014; 2(1):4-7. doi: 10.12691/ajcmr-2-1-2


Introduction: Schwannoma is a very uncommon pancreatic neoplasms. Because of their varing size, cystic nature they mimic pancreatic cystic neoplasms. Mostly definitive diagnosis is confirmed with histological assessment post resection. The mainstay of treatment is surgical resection based on the nature of tumour. Case presentation: Here we are reporting a very rare case of pancreatic schwannoma in 45 year old female presenting with pain upper abdomen with projectile vomiting. Pre-operative diagnosis of heterogenous tumor arising from head of pancreas was made on CECT abdomen following which Whipple's procedure was performed. Post operative histological analysis showed spindle cells arranged in palisading pattern with S-100 positivity, confirms the diagnosis of pancreatic schwannoma. Conclusion: We conclude that pancreatic schwannoma must be considered as an important differential diagnosis of pancreatic neoplasms. Though they have non specific symptoms but can present in unusual way as gastric outlet obstruction. Pre-operative diagnosis is difficult though computed tomographic and magnetic resonance imaging may be of value. For benign tumors, simple enucleation is enough, while malignant tumors requires complete oncological resection.

pancreatic tumor pancreatic schwannoma schwannoma

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