Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour

Introduction: Gastrointestinal stromal tumours (GISTs) are an important, though uncommon, cause of obscure gastrointestinal bleeding and may rarely be associated with genodermatoses such as neurofibromatosis type 1 (NF1). NF1-related GISTs have unique phenotypic features compared with sporadic GISTs...

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Main Authors: Liang, Raymond Fueng-Hin, Chau, Cora Yuk-Ping, Lim, Wee Chian
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2024
Subjects:
Online Access:https://hdl.handle.net/10356/179736
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author Liang, Raymond Fueng-Hin
Chau, Cora Yuk-Ping
Lim, Wee Chian
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Liang, Raymond Fueng-Hin
Chau, Cora Yuk-Ping
Lim, Wee Chian
author_sort Liang, Raymond Fueng-Hin
collection NTU
description Introduction: Gastrointestinal stromal tumours (GISTs) are an important, though uncommon, cause of obscure gastrointestinal bleeding and may rarely be associated with genodermatoses such as neurofibromatosis type 1 (NF1). NF1-related GISTs have unique phenotypic features compared with sporadic GISTs and may elude diagnosis due to their predilection for the small bowel. Case Presentation: We report a case of a 45-year-old Singaporean woman with café-au-lait macules and cutaneous neurofibromas who presented with occult obscure gastrointestinal bleeding and was eventually discovered to have a bleeding jejunal GIST. This finding, considered together with her cutaneous signs, eventually led to the diagnosis of NF1. Conclusion: Genodermatoses and their gastrointestinal complications are likely under-reported in adult Southeast Asian populations and deserve greater awareness from gastroenterologists practising in this region.
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spelling ntu-10356/1797362024-08-25T15:38:05Z Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour Liang, Raymond Fueng-Hin Chau, Cora Yuk-Ping Lim, Wee Chian Lee Kong Chian School of Medicine (LKCMedicine) Tan Tock Seng Hospital Medicine, Health and Life Sciences Capsule endoscopy Double balloon endoscopy Introduction: Gastrointestinal stromal tumours (GISTs) are an important, though uncommon, cause of obscure gastrointestinal bleeding and may rarely be associated with genodermatoses such as neurofibromatosis type 1 (NF1). NF1-related GISTs have unique phenotypic features compared with sporadic GISTs and may elude diagnosis due to their predilection for the small bowel. Case Presentation: We report a case of a 45-year-old Singaporean woman with café-au-lait macules and cutaneous neurofibromas who presented with occult obscure gastrointestinal bleeding and was eventually discovered to have a bleeding jejunal GIST. This finding, considered together with her cutaneous signs, eventually led to the diagnosis of NF1. Conclusion: Genodermatoses and their gastrointestinal complications are likely under-reported in adult Southeast Asian populations and deserve greater awareness from gastroenterologists practising in this region. Published version 2024-08-20T02:11:09Z 2024-08-20T02:11:09Z 2024 Journal Article Liang, R. F., Chau, C. Y. & Lim, W. C. (2024). Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour. Case Reports in Gastroenterology, 18(1), 299-305. https://dx.doi.org/10.1159/000538688 1662-0631 https://hdl.handle.net/10356/179736 10.1159/000538688 38895585 2-s2.0-85196726940 1 18 299 305 en Case Reports in Gastroenterology © 2024 The Author(s). Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. application/pdf
spellingShingle Medicine, Health and Life Sciences
Capsule endoscopy
Double balloon endoscopy
Liang, Raymond Fueng-Hin
Chau, Cora Yuk-Ping
Lim, Wee Chian
Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title_full Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title_fullStr Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title_full_unstemmed Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title_short Neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
title_sort neurofibromatosis type 1 presenting as bleeding jejunal gastrointestinal stromal tumour
topic Medicine, Health and Life Sciences
Capsule endoscopy
Double balloon endoscopy
url https://hdl.handle.net/10356/179736
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AT chaucorayukping neurofibromatosistype1presentingasbleedingjejunalgastrointestinalstromaltumour
AT limweechian neurofibromatosistype1presentingasbleedingjejunalgastrointestinalstromaltumour