
Recurrent gastrointestinal bleeding in a patient with type 1 neurofibromatosis
Author(s) -
Vidhyachandra Gandhi,
Pratik Gautam,
Taher Chharchhodawala,
Nitin Pai
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226303
Subject(s) - medicine , neurofibromatosis , asymptomatic , gastrointestinal bleeding , incidence (geometry) , abdomen , surgery , radiology , gastroenterology , physics , optics
Type 1 neurofibromatosis (NF1) is a hereditary disorder with an incidence of approximately 1:3000 at birth. Gastrointestinal (GI) lesions occur in approximately one-third of the patients, with most being asymptomatic and diagnosed incidentally. Symptomatic lesions leading to GI bleeding are uncommon. We share our experience of an elderly man with NF1, who presented with massive recurrent GI bleeding secondary to jejunal neurofibromas. The lesions were identified on CT scan of abdomen, and the patient was managed with resection of the involved bowel segment.