Appendiceal neurofibroma in a patient with neurofibromatosis 1 and recurrent abdominal infections from ventriculoperitoneal shunt: a case report
Autor: | Carter C. Lebares, Won-Tak Choi, Iman K Berrahou, Anthony T. Lee, Anya L. Greenberg, Oren Shaked, Line Jacques |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Abdominal pain AcademicSubjects/MED00910 Case Report Malignancy Neurofibromatosis 03 medical and health sciences 0302 clinical medicine Rare Diseases medicine Neurofibroma business.industry Abdominal Infection Pain Research Neurosciences medicine.disease Surgery Shunt (medical) Hydrocephalus Aqueductal stenosis 030220 oncology & carcinogenesis jscrep/0160 medicine.symptom Chronic Pain business 030217 neurology & neurosurgery |
Zdroj: | Journal of surgical case reports, vol 2021, iss 4 Journal of Surgical Case Reports |
Popis: | Appendiceal neurofibromas are exceedingly rare, with neither experimental nor observational data to support evidence-based diagnosis or treatment. We describe the case of a 52-year-old woman with neurofibromatosis 1 (NF1) complicated by aqueductal stenosis and resultant hydrocephalus needing a ventriculoperitoneal shunt (VPS). She presented to the emergency department with abdominal pain and was found to have abnormalities in the right hemiabdomen on cross-section imaging, also a Staphylococcus epidermidis growth at the distal portion of the VPS. She was initially treated with two rounds of intravenous antibiotics and VPS removal without improvement. She ultimately underwent an appendectomy, which revealed pathologic evidence of NF. The appendectomy was key to ruling out malignancy, addressing further symptoms and preventing future malignant transformation. This case highlights the importance of including appendiceal neurofibromas in the differential diagnoses of abdominal pain in patients with NF1. |
Databáze: | OpenAIRE |
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