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Journal of the Korean Society of Coloproctology 2009;25(4):259-263.
DOI: https://doi.org/10.3393/jksc.2009.25.4.259   
Plexiform Neurofibroma Involving the Ascending Colonic Mesentery in Neurofibromatosis Type I.
Park, Sun Jin , Choi, Sung Il , Lee, Suk Hwan , Lee, Kil Yeon
Department of Surgery, Kyung Hee University College of Medicine, Seoul, Korea. isaac34@korea.com
Abstract
We report a rare case of plexiform neurofibroma involving the ascending colonic mesentery in von Recklinghausen disease. A 20-yr-old male with neurofibromatosis type I was admitted because of abdominal pain, nausea, and vomiting. On physical examination, there were multiple cafe-au-lait spots over the patient's entire body. An abdominal computed tomography scan showed a hypodense mass in the ascending colonic mesentery. He underwent a laparoscopic right hemicolectomy with complete excision of the mass. The histological examination showed that the mass consisted of wavy, long-spindled cells, and the immunohistochemical stain for S-100 protein confirmed the mass to be a neurofibroma of the mesentery. The patient had an uneventful postoperative course and no signs of recurrence 16 mo after operation.
Key Words: von Recklinghausen disease; Plexiform neurofibroma; Mesentery
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