SOLITARY NEUROFIBROMA OF THE MESENTERY PRESENTING AS ACUTE INTESTINAL OBSTRUCTION

Abstract

Suresh Patil1, Nitinkumar N. Kalaskar2, Anil Jagarlamudi3

INTRODUCTION: The isolated presence of neurofibromatous lesions in the gastrointestinal tract, with no associated systemic syndromes, is a rarely reported clinical entity.

PRESENTATION OF CASE: A 25-year-old lady, with no history of neurofibromatosis or other systemic disease, presented with small bowel obstruction secondary to band formation induced by an isolated mysentric neurofibromatous mass. The patient underwent exploratory laparotomy with release of the band and removal of the mass and after a smooth recovery; she was put on a long-term follow-up schedule

DISCUSSION: This article presents a review of the literature of this area clinical entity. Very few reports of gastrointestinal isolated neurofibromas could be found. Similarly, extra-digestive isolated lesions have been rarely reported.

CONCLUSION: Isolated mesentric neurofibroma is a rare pathological entity. The clinical significance of such a diagnosis lies mainly in the need of further follow up of these patients as the bowel involvement could be the first manifestation of neurofibromatosis type 1 or multiple endocrine neoplasia type 2b.

 

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