Acute esophageal hemorrhage from a vagal neurilemoma

Kenneth R. DeVault, Larry S. Miller, Harout Yaghsezian, Andreas M. Spirig, Manisha Dhuria, Fred R. Armenti, Daniel C. Connell, Paul Martin, Donald O. Castell

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

A man with known systemic neurofibromatosis developed an acute upper gastrointestinal hemorrhage while hospitalized after a neurosurgical procedure. Endoscopic evaluation showed a vascular lesion with an appearance consistent with a Dieulafoy-type lesion in the distal esophagus. Despite multiple endoscopic procedures with attempted coagulation of the bleeding lesion, the patient continued to have life-threatening hemorrhaging. At thoracotomy, a tumor was found to arise from the vagus nerve at the site of bleeding. This tumor was resected and histologically determined to be a neurilemoma. Acute bleeding into the esophagus associated with this type of tumor has not been previously reported.

Original languageEnglish (US)
Pages (from-to)1059-1061
Number of pages3
JournalGastroenterology
Volume102
Issue number3
DOIs
StatePublished - Mar 1992
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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