A medical team at Dr. Soliman Fakeeh Hospital in Jeddah successfully performed a delicate surgical procedure to remove a rare nerve tumor located in the pelvic region using minimally invasive laparoscopic surgery. The case was initially diagnosed through MRI imaging and thoroughly discussed within the hospital’s multidisciplinary tumor board before proceeding with surgery.

The tumor measured 9 × 6 cm and was located in a highly sensitive area deep within the pelvis, positioned between the iliac artery, iliac vein, and the right ureter, behind the rectum and in front of the lower spine. This location made the surgical approach particularly challenging due to its proximity to major blood vessels, nerves, and vital organs.

Diagnostic findings revealed that the tumor was a Schwannoma, a rare benign nerve sheath tumor that develops from the protective covering of nerves. Schwannomas are most commonly found in the neck or extremities, while their occurrence in the pelvic region is extremely rare, accounting for only about 0.05% of all nerve tumors. In some cases, such tumors may compress nearby organs such as the ureter or rectum, potentially causing urinary obstruction or difficulty with bowel movements.

The surgical team successfully removed the tumor completely while preserving the surrounding vital structures, including the pelvic nerves, ureter, blood vessels, intestines, and rectum. Importantly, the procedure was performed without the need to remove any portion of the intestine.

The surgery was conducted using laparoscopic techniques through small abdominal incisions, which allowed for greater surgical precision, reduced complications, and a faster recovery period. The patient was discharged from the hospital after the medical team confirmed his stable condition and satisfactory recovery.