title: Small bowel volvulus as a complication of von Recklinghausen's disease: a case report.
abstract: We report the case of a 25-year-old male with Neurofibromatosis type I (NF-1), who presented at the time of admission with clinical findings of an acute abdomen caused by a mechanical obstruction. Computerized tomography showed a volvulus of the terminal ileum with mesenteric swirling as the cause of the patient's symptoms. Consecutive exploratory laparotomy confirmed the diagnosis and 70 cm of the small intestine was resected due to an affection of the mesentery by multiple neurofibromas. The gastrointestinal tract is affected in approximately 10% of patients with NF-1, however the mesentery is almost always spared. Here we describe the unique case of a patient with a volvulus caused by mesenteric manifestation of von Recklinghausen's disease, emphasizing the role of surgery in a team of multidisciplinary specialists to treat this multiorganic disease.
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Thomas Artur
authors: TA
authors: Werner
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Feride
authors: F
authors: Kröpil
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Martin Olaf
authors: MO
authors: Schoppe
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Patric
authors: P
authors: Kröpil
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Wolfram Trudo
authors: WT
authors: Knoefel
authors: Thomas Artur Werner, Feride Kröpil, Wolfram Trudo Knoefel, Andreas Krieg, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
authors: Andreas
authors: A
authors: Krieg
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D006801:Humans; D007078:Ileal Neoplasms / Q000737:chemistry / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007150:Immunohistochemistry; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor
keywords: Mesenteric neurofibromas; Neurofibromatosis type I; Obstruction; Volvulus; Von Recklinghausen´s disease