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CASE REPORT
Recurrent gastrointestinal bleeding in a patient with type 1 neurofibromatosis
  1. Vidhyachandra Gandhi1,
  2. Pratik Gautam1,
  3. Taher Chharchhodawala2 and
  4. Nitin Pai3
  1. 1 Gastrointestinal and HPB Surgery, Ruby Hall Clinic, Pune, Maharashtra, India
  2. 2 Histopatholgy, Ruby Hall Clinic, Pune, Maharashtra, India
  3. 3 Medical Gastroenterology, Ruby Hall Clinic, Pune, Maharashtra, India
  1. Correspondence to Dr Vidhyachandra Gandhi, drgandhivv{at}gmail.com

Abstract

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.

  • gastrointestinal surgery
  • GI bleeding
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Footnotes

  • Contributors VG wrote the manuscript. PG helped in editing and reviewing the manuscript. TC provided the histology images and wrote the histopathology section of the manuscript. NP did the endoscopies, intraoperative enteroscopy and helped in drafting the discussion.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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