2019 Volume 44 Issue 1 Pages 49-55
The patient was a 54-year-old woman with Neurofibromatosis type 1: von Recklinghausen disease (vRD), who presented with the chief complaint of bloody stools. Capsule endoscopic examination led to the suspicion of a small tumor in the upper small intestine, and oral and transanal endoscopies were performed. The patient was diagnosed as having gastrointestinal stromal tumors (GISTs) and laparoscopic surgery was performed. There were multiple GISTs in the small intestine, totalling 12 in number, measuring 2-50 mm in diameter. A small number of vRD cases complicated by GISTs have recently been reported. We encountered a patient with mulitple small-intestinal GISTs associated with vRD who we treated by laparoscopic surgery. For multiple leasions as in this case, laparoscopic exploration may be a useful approach. Herein, we report a case with a review of the relevant literature.
