[Contribution of endosonography to the diagnosis and follow-up of pediatric gastric neurofibroma revealing von Recklinghausen's disease].
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.
Ategbo
S
S
Service de gastroentérologie et nutrition pédiatriques, hôpital Robert-Debré, Paris, France.
Munck
A
A
Aigrain
Y
Y
Cézard
J P
JP
Ferkdadji
L
L
Vaudour
D
D
Peuchmaur
M
M
Palazzo
L
L
Navarro
J
J
Mougenot
J F
JF
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
Contribution de l'échoendoscopie au diagnostic et au suivi d'un neurofibrome gastrique pédiatrique révélateur d'une maladie de von Recklinghausen.