title: [Bile duct obstruction caused by neurofibroma in a patient with Recklinghausen's disease].
abstract: BACKGROUND
  Neurofibromatosis type-I (von Recklinghausen's disease) is characterised by multiple cutan neurofibromas, cafe-au-lait spots, bone abnormalities and tumours of central and peripheral nerves. Gastrointestinal involvement occurs in 25 percent of all cases.
  
  
  METHODS
  The authors report a case of a 53-year-old man presenting with rare hepatobiliary complication. He complained of abdominal pain and he looked jaundiced. The abdominal ultrasound revealed cholestasis confirmed by the laboratory results. The endoscopic retrograd cholangiography showed nearly total obstruction in the middle part of common bile duct. Subsequently laparotomy and choledochoenterostomy was performed. Plexiform neurofibroma was found in the wall of common bile duct and several gastrointestinal stromal tumour seedings were identified on the serosal surface of the small intestine. Post surgery he remained symptom free and showed no sign of jaundice.
  
  
  CONCLUSIONS
  The authors would like to draw attention to this extremely rare case, since only two similar cases appeared in the literature.
authors.affiliation: Baranya Megyei Kórház, I.sz.Belgyógyászati és Gasztroenterológiai Osztály, Pécs.
authors.forename: Judit
authors.initials: J
authors.lastname: Bajor
authors.forename: Mária
authors.initials: M
authors.lastname: Garamszegi
authors.forename: Erzsébet
authors.initials: E
authors.lastname: Grexa
authors.forename: Béla
authors.initials: B
authors.lastname: Anga
authors.forename: Gábor
authors.initials: G
authors.lastname: Papp
authors.forename: Tamás
authors.initials: T
authors.lastname: Beró
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000175:diagnosis; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging