PMC4290109_01
MRI- coronal view showing a pre-coccygeal tumor
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F1
It appeared benign on MRI and differential diagnosis of Schwannoma and ganglioneuroma were given [Figures 1 and 2].
MRI- saggital view showing a pre-coccygeal tumor
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F2
It appeared benign on MRI and differential diagnosis of Schwannoma and ganglioneuroma were given [Figures 1 and 2].
Port Position O- Optic port (12 mm) R1- Robotic right arm (8 mm) R2- Robotic left arm (8 mm) A- Assistant port (12 mm)
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F3
An intraoperative laparoscopic USG was done and tumor was localized entering into the fold of the broad ligament on the right side in between the uterosacral ligament, uterus and rectum; and pushing the uterus anteriorly and the rectum laterally as seen on the MRI [Figures 3 and 4].
Intra-operative image of tumor
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F4
An intraoperative laparoscopic USG was done and tumor was localized entering into the fold of the broad ligament on the right side in between the uterosacral ligament, uterus and rectum; and pushing the uterus anteriorly and the rectum laterally as seen on the MRI [Figures 3 and 4].
Excised tumor
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F5
Histopathology report confirmed the lesion as a benign ganglioneuroma [Figure 5].