Small bowel volvulus as a complication of von Recklinghausen's disease:A case report

作     者：Thomas Artur Werner Feride Krpil Martin Olaf Schoppe Patric Krpil Wolfram Trudo Knoefel Andreas Krieg 

作者机构：Department of Surgery (A)HeinrichHeine-University and University Hospital Duesseldorf40225 DuesseldorfGermany Institute of PathologyHeinrich-Heine-University and University Hospital Duesseldorf40225 DuesseldorfGermany Institute of Diagnostic and Interventional RadiologyHeinrich-Heine-University and University Hospital Duesseldorf40225 DuesseldorfGermany 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第24期

页      面：7979-7983页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Volvulus Obstruction Von Recklinghausen´ s disease Neurofibromatosis type  I Mesenteric neurofibromas 

摘      要：We report the case of a 25-year-old male with Neurofibromatosis type I (NF-1), who presented at the time of admission with clinical findings of an acute abdomen caused by a mechanical obstruction. Computerized tomography showed a volvulus of the terminal ileum with mesenteric swirling as the cause of the patient’s symptoms. Consecutive exploratory laparotomy confirmed the diagnosis and 70 cm of the small intestine was resected due to an affection of the mesentery by multiple neurofibromas. The gastrointestinal tract is affected in approximately 10% of patients with NF-1, however the mesentery is almost always spared. Here we describe the unique case of a patient with a volvulus caused by mesenteric manifestation of von Recklinghausen’s disease, emphasizing the role of surgery in a team of multidisciplinary specialists to treat this multiorganic disease.