A Case of Suspected Spontaneous Thigh Hematoma in a Patient with Neurofibromatosis 1

Authors

Kyle Mahoney, HCA HealthcareFollow
Valerie K. Vazquez, HCA HealthcareFollow
Ravi Chandra, HCA HealthcareFollow

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

9-2022

Keywords

Neurofibromatosis type 1, Hemorrhage, Spontaneous, Extremity, Vascular surgery

Disciplines

Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Surgery

Abstract

Neurofibromatosis type 1 (NF-1a) is an autosomal dominant mutation on chromosome 17q11.2 which causes downregulation of the ras tumor suppressor oncogene as well as alteration in the production of the protein neurofibromin. These genetic changes commonly lead to unique phenotypes of neurofibromas, Lisch nodules, axillary freckling, and café au lait spots. Uncommonly seen in this condition are vascular anomalies leading to spontaneous hemorrhages. We present the case of a spontaneous thigh hematoma in a patient with NF-1. Since intra-operative findings did not reveal any obvious arterio-venous malformations, it was determined that the patient likely had arterial dysplasia with resultant rupture secondary to nearby invasion of a neurofibroma.

Publisher or Conference

Annals of Vascular Surgery - Brief Reports and Innovations

Recommended Citation

Mahoney K, Vazquez V, Chandra R. A case of suspected spontaneous thigh hematoma in a patient with neurofibromatosis 1. Ann Vasc Surg Brief Rep Innov. 2022;2(3):100116. doi: 10.1016/j.avsurg.2022.100116