Gastrointestinal haemorrhage complicating small bowel neurofibromatosis.
A case of acute gastrointestinal haemorrhage in a patient with systemic neurofibromatosis is presented. The bleeding was localized using mesenteric angiography and small bowel enema to a segment of ileum with multiple smooth muscle neurofibromata. The patient had a complete recovery after the resection and remained asymptomatic at 2 years follow up. Small bowel neurofibromatosis is a rare but important differential in gastrointestinal haemorrhage. Early diagnosis and surgery are vital for patient survival.
Appu
Sree
S
Departments of Surgery and Pathology, Western Hospital, Melbourne, Victoria, Australia. drsappu@hotmail.com
Valentine
Renata
R
McLaughlin
Stephen
S
D000208:Acute Disease; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007421:Intestine, Small; D008875:Middle Aged; D017253:Neurofibromatoses / Q000150:complications*