Small intestinal hemorrhage in a patient with Neurofibromatosis type 1

We present the case of a 32-year-old male patient with a history of Neurofibromatosis type 1, who presented with active small bowel bleeding, initially diagnosed by observing bleeding in ileoscopy, presenting with hemodynamic instability, abdominal angiotomography was performed, identifying a mass w...

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Detalles Bibliográficos
Autores: Guevara-Peralta, Katia Gesell, Zegarra-Neira, Nilton Fidel, Bayro-Peñaloza, Rosa Fabiola
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Perú
Institución:Sociedad de Gastroenterología del Perú
Repositorio:Revista de Gastroenterología del Perú
Idioma:español
OAI Identifier:oai:ojs.revistagastroperu.com:article/1226
Acceso en línea:https://revistagastroperu.com/index.php/rgp/article/view/1226
Access Level:acceso abierto
Palabra clave:Hemorragia Gastrointestinal
Neurofibromatosis 1
Tumores del Estroma Gastrointestinal
Gastrointestinal Hemorrhage
Gastrointestinal Stromal Tumors
Descripción
Sumario:We present the case of a 32-year-old male patient with a history of Neurofibromatosis type 1, who presented with active small bowel bleeding, initially diagnosed by observing bleeding in ileoscopy, presenting with hemodynamic instability, abdominal angiotomography was performed, identifying a mass with contrast enhancement and active bleeding at the middle jejunum level, for which an angiography with arterial embolization of the branch that supplies said area is performed. With the patient stable, a double-balloon antegrade enteroscopy was performed, observing a subepithelial, ulcerated lesion, endoscopic tattooing was performed and finally urgery was sent for resection by laparoscopy. The pathology study was compatible with a jejunal gastrointestinal stromal tumor (GIST).