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Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah

Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah

Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah

Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah
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30/12/2025

Madinah - Mouwasat Hospital 

Mouwasat Hospital in Madinah proudly announces the successful completion of a complex microsurgical procedure performed by Dr. Ahmed El Shazly, Consultant in Orthopedic Surgery and Microsurgical Hand Procedures

Case Details 

A 41-year-old patient presented with chronic pain in the right leg, numbness, and altered sensation in the sole of the foot for over five years. The pain worsened with pressure or touch and intensified at night, causing severe insomnia. Despite consulting multiple physicians, the condition remained undiagnosed. 

Accurate Diagnosis 

Clinical examination and advanced imaging (X-ray and MRI) revealed a Tibial Nerve Schwannoma, a benign nerve sheath tumor located in the posterior compartment of the leg. This nerve controls foot movement and sole sensation. Continuous pressure from the tumor posed a risk of loss of sensation or motor weakness in the foot and toes. 

What is Tibial Nerve Schwannoma? 

A Tibial Nerve Schwannoma is a rare, benign tumor originating from Schwann cells that form the nerve sheath. It affects the tibial nerve, which is responsible for foot movement and sensation in the sole. While the tumor grows slowly, its enlargement can compress nerve fibers, leading to: 

Microsurgical Tumor Removal 

Dr. El Shazly successfully performed a microsurgical excision of the tumor (5×3 cm) while preserving nerve fibers. The patient was discharged the next day without complications and experienced significant pain relief and restored sensation within days. Histopathology confirmed the complete removal of the schwannoma. 

Mouwasat Commitment to Excellence 

This achievement reflects Mouwasat Hospital’s dedication to advanced neurosurgical and orthopedic techniques, ensuring accurate diagnosis and minimally invasive procedures for optimal patient outcomes—aligned with our vision of delivering world-class healthcare.




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13/08/2026

Riyadh: Mouwasat Hospital

A multidisciplinary medical team at Mouwasat Hospital in Riyadh successfully treated a critically ill patient suffering from acute septic shock resulting from acute pancreatitis, in addition to biliary obstruction caused by stones in the common bile duct.

Emergency Admission of a Critically Ill Patient

The patient was transferred from another hospital to the Emergency Department at Mouwasat Hospital in Riyadh. She was in critical condition, suffering from acute septic shock and acute pancreatitis, along with biliary obstruction caused by stones in the common bile duct.

The patient was admitted under the supervision of Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery. The necessary laboratory investigations and diagnostic imaging examinations were performed to assess her condition and establish an appropriate treatment plan.

A Treatment Plan Combining Surgery and Endoscopy

Coordination was established with Dr. Mohamed Negm, Consultant in Therapeutic Biliary Endoscopy, to perform an urgent therapeutic intervention combining surgery and endoscopy in a single procedure.

The treatment plan was designed to manage the common bile duct stones and biliary obstruction, while also completing the laparoscopic removal of the gallbladder.

Laparoscopic Gallbladder Removal and Bile Duct Stone Extraction

During the procedure, the medical team performed a laparoscopic cholecystectomy. A guidewire was inserted through the cystic duct to facilitate accurate and safe access to the bile ducts using therapeutic endoscopy.

The medical team successfully fragmented and removed the stones causing the obstruction. A plastic stent was also inserted to maintain the flow of bile before the laparoscopic removal of the gallbladder was successfully completed.

Improvement Following the Procedure

Following the procedure, the patient was transferred to an inpatient room to continue receiving the necessary medical care. Her health condition showed significant improvement.

The patient was subsequently discharged from the hospital in a stable condition, with a regular follow-up plan arranged through the outpatient clinics.

Completing the Treatment in a Single Session

This complex condition required precise and timely medical intervention to avoid the potential complications associated with delayed treatment.

Although this type of condition is generally treated through two separate stages, the multidisciplinary team at Mouwasat Hospital in Riyadh successfully completed the entire treatment in a single session and within a short period of time, supported by specialized expertise and modern medical technologies.

This integrated treatment approach contributed to reducing risks, accelerating the patient’s recovery, and improving her overall treatment experience.

Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah

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Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah
13/08/2026

Riyadh – Mouwasat Hospital

Mouwasat Hospital in Riyadh has recorded a new medical success story after a multidisciplinary medical team successfully treated a patient who arrived at the Emergency Department suffering from acute hemorrhagic shock and multiple serious injuries following a gunshot wound.

Emergency Department Response

The patient was transported to the Emergency Department at Mouwasat Hospital in Riyadh by the Saudi Red Crescent. He had sustained a gunshot wound that entered through the right side of his back and exited through the abdomen.

The injury caused severe damage to the abdominal wall with protrusion of parts of the intestines, in addition to fractures and extensive damage to the rib cage.

Immediately upon the patient’s arrival, the medical team managed the case in accordance with approved Advanced Trauma Life Support protocols. His condition was urgently assessed, and he was prepared for immediate surgical intervention.

Emergency Exploratory Abdominal Surgery

The patient underwent emergency exploratory abdominal surgery under the supervision of Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery.

The procedure revealed severe damage and bleeding in the right lobe of the liver, along with a superficial injury to the right kidney. These findings required precise surgical intervention to control the bleeding and manage the injuries.

Multidisciplinary Medical Teamwork

A multidisciplinary medical team participated in managing the patient’s injuries and controlling the bleeding. The team included:

  • Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery.
  • Dr. Halil, Consultant in Liver Surgery.
  • Dr. Mohammed Fawzan, Consultant in Kidney and Urological Surgery.
  • Dr. Mohammed Ali, Consultant in Thoracic Surgery.

The medical team also examined the intestines, colon, and other abdominal organs to ensure that there were no additional injuries that could pose a threat to the patient’s life.

Patient Stabilization After Surgery

The procedure was successfully completed, and the patient was transferred to the Intensive Care Unit in a stable condition. He was later moved to an inpatient room to continue receiving the necessary medical care and follow-up.

By the grace of God, the patient’s condition gradually improved until he became stable and ready for discharge from the hospital. A regular follow-up plan was also arranged through the outpatient clinics.

Mouwasat Hospital’s Readiness to Manage Critical Cases

This case reflects the high level of readiness and integration among the different medical and surgical specialties at Mouwasat Hospital in Riyadh. It also highlights the availability of qualified medical professionals, advanced expertise, and modern technologies required to manage complex and critical cases around the clock, contributing to the delivery of prompt and integrated medical care in the most critical circumstances.

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