Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1388
5
1
gregorian
2009
8
1
23
2
online
1
fulltext
en
Vagus nerve shwannoma presented with long-term cachexia: report of a case and review of literature
Surgery
Surgery
case report
case report
<p> <strong> Abstract </strong></p><p> Intraabdominal schwannomas are rare tumors that may arise from viscera or abdominal </p><p> wall. The rarity accompanied by occurrence in odds places may make their diagnosis difficult and delayed. We present a case of distal paraesophageal schwannoma with long-term cachexia. A34-year-old man presented with long-lasting vomiting, dysphagia, and progressive cachexia for four years. Multiple paraclinical assessments were normal subsequently he was referred to psychiatric department and treated for anorexia nervosa for three year without any improvement. Further evaluations showed a mass in diaphragm hiatus in paraesophageal region. Explorative laparotomy revealed a cylindric shaped encapsulated tumor parallel to distal esophagus risen from vagus nerve, which was resected completely. Pathological and immunohistochemical examinations of the tumor revealed a benign plexiform schwannoma. After surgery, the patient was relieved from symptoms and gained weight significantly. It is important to consider physical causes in patients with cachexia who are treated for psychiatric problems and it is necessary to reevaluate these patients specially when there is no response to psychiatric treatments. </p><p> </p>
schwannoma, vagus nerve, abdominal esophagus, cachexia
108
111
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-69&slc_lang=en&sid=1
Ali
Ghafouri
aghafouri@sina.tums.ac.ir
20031947532846001819
20031947532846001819
Yes
Dr Shariati Hospital, School of Medicine Tehran University of MedicalSciences.Tehran. Iran.
Zhamak
Khorgami
20031947532846001820
20031947532846001820
No
Dr Shariati Hospital, School of Medicine Tehran University of Medical Sciences .Tehran
Saadat
Molanaei
20031947532846001821
20031947532846001821
No
Department of pathology, Milad Hospital, Tehran, Islamic Republic of Iran