title: [Contribution of endosonography to the diagnosis and follow-up of pediatric gastric neurofibroma revealing von Recklinghausen's disease].
abstract: BACKGROUND
  Gastrointestinal involvement in von Recklinghausen's disease (RD) is rare during childhood; its symptoms are late and its prognosis is poor, related to local recurrence and risk of malignant transformation.
  
  
  METHODS
  A 13 year-old boy was admitted for hematemesis revealing gastric ulcer. A second episode of hematemesis led to identify a sessile gastric tumor in this patient having numerous skin café-au-lait spots. Recurrent bleeding required laparotomy that showed diffuse infiltration into the anterior gastric wall: histological examination of the excised piece showed characteristic features of neurofibromatosis. The patient was not compliant to the endosonographic survey so that a symptomatic relapse led to total gastrectomy: histological examination did not show malignant transformation.
  
  
  CONCLUSIONS
  Endoscopy is a major tool for identifying gastrointestinal localization of RD but endosonography is necessary to precise the extent of the tumor.
authors.affiliation: Service de gastroentérologie et nutrition pédiatriques, hôpital Robert-Debré, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Ategbo
authors.forename: A
authors.initials: A
authors.lastname: Munck
authors.forename: Y
authors.initials: Y
authors.lastname: Aigrain
authors.forename: J P
authors.initials: JP
authors.lastname: Cézard
authors.forename: L
authors.initials: L
authors.lastname: Ferkdadji
authors.forename: D
authors.initials: D
authors.lastname: Vaudour
authors.forename: M
authors.initials: M
authors.lastname: Peuchmaur
authors.forename: L
authors.initials: L
authors.lastname: Palazzo
authors.forename: J
authors.initials: J
authors.lastname: Navarro
authors.forename: J F
authors.initials: JF
authors.lastname: Mougenot
mesh_terms: D000293:Adolescent; D019160:Endosonography; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D009455:Neurofibroma / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology / Q000601:surgery
vernacular_title: Contribution de l'échoendoscopie au diagnostic et au suivi d'un neurofibrome gastrique pédiatrique révélateur d'une maladie de von Recklinghausen.