An unusual presentation of anterior abdominal wall neurofibroma

Abstract

Background: Neurofibroma is a benign tumour of the peripheral nerve sheath characterized by proliferation of Schwann cells, perineural cells and endoneurial fibroblasts. Different types of Neurofibroma can be identified, including localized, plexiform, and diffuse types. Solitary Neurofibromas are benign tumours, often the manifestation of neurofibromatosis, and reflect a hereditary pathology with several variants. The clinical manifestations of solitary Neurofibromas change according to their location and can generate a variety of symptoms. Usually, solitary Neurofibromas are located in the skin and rarely in other places. Surgical removal is the only treatment; malignant transformation and recurrence are unusual. Objective: A case is reported of solitary neurofibroma in the abdominal wall of a 35-year-old patient without neurofibromatosis. Conclusion: The Solitary Neurofibroma is one of the rare possibilities of anterior abdominal wall tumour. And it can be treated with wide excision and reconstruction with mesh or proline darting and coverage with graft or flap.