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RECURRENT PERFORATION COMPLICATING INTESTINAL NEUROFIBROMATOSIS
- Source :
- ANZ Journal of Surgery. 58:749-751
- Publication Year :
- 1988
- Publisher :
- Wiley, 1988.
-
Abstract
- A patient with diffuse intestinal neurofbromatosis who presented with recurrent small bowel perforation is described. Such recurrent perforation has not been reported previously. Management at first perforation consisted of laparotomy, and excision of the perforated nodular lesion, with removal of the gall-bladder and appendix. The diagnosis of von Recktlinghausen's disease was confirmed by skin biopsy. Management of the second perforation was conservative, with administration of intravenous antibiotics, fluid replacement therapy, and nasogastric suction. The third perforation was treated surgically, with resection of the small bowel, leaving approximately 50 cm of small bowel. Such an approach represented a compromise between cure of the neurofibromatosis and leaving sufficient small bowel to allow satisfactory alimentation.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Neurofibromatosis 1
medicine.medical_treatment
Perforation (oil well)
Resection
Recurrence
Laparotomy
Intestinal Neoplasms
Intestine, Small
Humans
Medicine
Neurofibromatosis
medicine.diagnostic_test
business.industry
Nasogastric suction
General Medicine
medicine.disease
digestive system diseases
Appendix
Surgery
medicine.anatomical_structure
Intestinal Perforation
Skin biopsy
business
Small bowel perforation
Subjects
Details
- ISSN :
- 14452197 and 14451433
- Volume :
- 58
- Database :
- OpenAIRE
- Journal :
- ANZ Journal of Surgery
- Accession number :
- edsair.doi.dedup.....4697b5446b1e76e00abc3ec300001bc7