Intestinal Duplication in a Patient with Neurofibromatosis

Berezin, Stuart; Fakhry, Joseph; Newman, Leonard S.; Davidian, Marianna M.; Slim, Michael S.

doi:10.1097/00005176-198811000-00022

Cited by 3 publications

(1 citation statement)

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“…After a thorough search of the literature, we identified a total of 24 children with NF1 and reported gastrointestinal complications (Table 2). Presenting features of gastrointestinal involvement in NF1 include: dyspepsia, abdominal pain, abdominal distension, constipation, bowel obstruction, and gastrointestinal bleeding (2)(3)(4)(5)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Most reported complications are caused by the presence of mass lesions in the stomach, small bowel, or mesentery.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Migraine in Children With Neurofibromatosis Type 1: A Case Series and Review of Gastrointestinal Involvement in NF1

Heuschkel,

Kim,

Korf

et al. 2001

J. pediatr. gastroenterol. nutr.

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BackgroundSymptomatic involvement of the gastrointestinal tract in children with neurofibromatosis type 1 (NF1) is rare. Most reported complications in adults are caused by the presence of neurofibromas in the stomach, small bowel, or mesentery. In contrast, abdominal pain in children with NF1 may be the result of nonanatomic causes, such as migraine. There are no previous reports of an association between abdominal migraine and NF1.MethodsChildren with abdominal migraine were identified from a group of children with NF1, all of whom had been followed up for a minimum of 3 years. Medical records of cases were reviewed independently by two authors. MEDLINE was searched via PubMed for all reports of children with NF1 and any associated gastrointestinal involvement.ResultsSix children with NF1 and intermittent, episodic, severe abdominal pain are reported. Investigations for obstructive or inflammatory causes of abdominal pain were negative. All patients had previously been diagnosed with migraine headaches by a neurologist. In five of the six patients, propranolol (10–15 mg three times daily) resulted in relief of their abdominal pain within days of starting therapy. Our review identified 24 children in the medical literature with gastrointestinal complications of NF1, mostly secondary to visceral neurofibromas. In almost all of these cases, clinical examination and simple radiologic investigations led to the definitive diagnosis. There were no reports of abdominal migraine complicating NF1.ConclusionsAbdominal pain secondary to migraine is an unrecognized cause of abdominal pain in children with NF1 and may be more common than anatomic causes of abdominal pain in children with NF1. In children with NF1 and severe recurrent abdominal pain in whom an evaluation for anatomic lesions is negative, a trial of migraine therapy may be indicated.

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Section: Discussionmentioning

confidence: 99%

Abdominal Migraine in Children With Neurofibromatosis Type 1: A Case Series and Review of Gastrointestinal Involvement in NF1

Heuschkel,

Kim,

Korf

et al. 2001

J. pediatr. gastroenterol. nutr.

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Intestinal obstruction caused by duplication of the caecum

Oudshoorn

Heij

1996

Eur J Pediatr

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Two cases of caecal duplication are presented, one in a neonate and one in an infant. The diagnosis was made at laparotomy, which had been undertaken for the presumptive diagnosis of intestinal atresia and torsion of an ovarian cyst respectively. Also the literature on alimentary tract duplications is reviewed, referring to the incidence, presenting symptoms, and location of the duplication, in particular that of the caecum.

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