Recurrent abdominal complaints caused by a cecal neurofibroma: a case report
Willem Donk1, Paul Poyck, Pieter Westenend
1Department of Surgery, Albert Schweitzer hospital, PO Box 444, 3300AK, Dordrecht, The Netherlands. w.donk@asz.nl
Abstract:
Gastrointestinal involvement of neurofibromatosis type 1 (NF1, Von Recklinghausen's disease) is generally associated with the upper gastrointestinal tract. Abdominal manifestation of NF1 includes several tumors such as malignant peripheral nerve sheath tumors, gastrointestinal stromal tumors and ampulla of vater tumors. However, colonic involvement in NF1 patients is rare. We report a case of a patient presenting with dysphagia, weight loss, intermittent abdominal pain and constipation caused by a single cecal neurofibroma obstructing the ileocecal valve. Also gastrointestinal involvement of the lower tract should be considered in patients with NF1 presenting with abdominal complaints.
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