Massive retrogastric bleeding caused by neurofibroma. Case report.

Area of Science:

• Gastroenterology
• Surgical Oncology
• Oncology

Background:

• Neurofibromas, benign tumors arising from nerve sheath cells, can occur in various locations.
• Gastrointestinal neurofibromas are rare and can present with diverse clinical manifestations.
• Massive bleeding is an uncommon but serious complication of gastrointestinal neurofibromas.

Observation:

• A case of massive retrogastric bleeding originating from a neurofibroma of the gastric wall is presented.
• The neurofibroma was surgically excised without necessitating an opening into the gastric mucosa.
• The patient had no prior diagnosis of von Recklinghausen's disease.

Findings:

• Successful surgical resection of a gastric neurofibroma causing massive retrogastric hemorrhage.
• Demonstration that gastric neurofibromas can cause significant gastrointestinal bleeding.
• The tumor was completely removed, achieving hemostasis and resolving the bleeding.

Implications:

• Neurofibroma should be considered in the differential diagnosis of unexplained bleeding from the digestive tract.
• This case underscores the importance of considering neurofibromas in unexplained bleeding within the retroperitoneal or intraperitoneal spaces.
• Patients with von Recklinghausen's disease require heightened awareness for gastrointestinal neurofibromas presenting with bleeding.