Life-threatening gastrointestinal bleeding in a case of neurofibromatosis 1 and gastrointestinal stromal tumour managed with surgical intervention as a case report.

一例神经纤维瘤病 1 例和胃肠道间质瘤的危及生命的胃肠道出血 ， 经手术治疗。

• 发表时间: 2024
• 来源期刊: SAGE Open Med Case Rep
• DOI: 10.1177/2050313X241255238
• PMID: 38764917
• 文章类型: Case Reports
• 作者列表: Gokhale V,Mangudkar S,Yadav P,Lingineni V,Pharande S

关键词: GIST; Neurofibroma; endoscopy; jejunum

Abstract

A 63-year-old patient with skin neurofibromas since birth was brought to emergency in a critical state due to massive bleeding per rectum. After stabilization and massive transfusion, the patient underwent Gastro-Intestinal (GI) endoscopy and abdominal computed tomography. A mass was identified in the jejunum. On laparotomy, multiple neurofibromas were seen in the jejunum. The segment with bleeding tumour was resected. Histopathology revealed benign spindle cell neoplasm, a gastrointestinal stromal tumour. The patient recovered and was discharged on day 15.

摘要

一名63岁的皮肤神经纤维瘤患者自出生以来因直肠大量出血而处于危急状态。稳定和大量输血后，患者接受了胃肠(GI)内镜检查和腹部计算机断层扫描.在空肠中鉴定出肿块。在剖腹手术中，空肠可见多发性神经纤维瘤。切除肿瘤出血段。组织病理学提示良性梭形细胞肿瘤，胃肠道间质瘤.患者康复并在第15天出院。