Abstract：
Objective: The ischiorectal fossa is a key anatomical location with boundaries and internal structures owing distinct contributions to function and quality of life. Methods: We highlight the importance of management of pathology in this deep anatomically complex location. Results: We present a ten-step multidisciplinary surgical approach; achieving en bloc radical excision with primary closure and reassuring outcomes. Schwannomas are benign slow-growing nerve sheath tumors. Conclusions: Pelvic schwannomas are rare with only 3 reported cases of the pudendal nerve. We also offer an overview of this rare pathology whilst acknowledging a paucity of recommendations regarding management of disease of the ischiorectal fossa.
摘要：
目的：坐骨直肠窝是具有边界和内部结构的关键解剖位置，对功能和生活质量有不同的贡献。方法：我们强调了在这个深层解剖复杂位置进行病理处理的重要性。结果：我们提出了十步多学科手术方法；实现一期封闭和令人放心的结果的整体根治性切除术。神经鞘瘤是良性缓慢生长的神经鞘瘤。结论：盆腔神经鞘瘤很少见，仅报告了3例阴部神经。我们还提供了这种罕见病理的概述，同时承认有关坐骨直肠窝疾病管理的建议很少。
