Speaker Credentials
OMS-III
Speaker Credentials
BS
College
Dr. Kiran C. Patel College of Osteopathic Medicine, DO
Medical Specialty
Internal Medicine
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
1
Abstract
Introduction: Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder causing multisystemic manifestations at birth or an early age, with its most prominent symptom being widespread neurofibromas. These neurofibromas can present in any organ, leading to complications depending on their size and location.
Case Presentation: We present a 55-year-old African American female with bilateral nephrostomy tubes after resection of neurofibromas of the bladder.
Deviation From the Expected: The patient developed sepsis due to a urinary tract infection caused by the tubes. Urology and interventional radiology consultants discussed whether to replace the nephrostomy tubes during this admission or wait for her scheduled outpatient visit one week later
Discussion: Ultimately, the patient was discharged back to the skilled nursing facility on Meropenem, with a follow-up to see her urologist the following week for nephrostomy tube replacement. For patients with a nephrostomy, a stent exchange is recommended every three months. The main challenge in this case was deciding whether the patient required immediate tube exchange or to continue her antibiotic therapy and wait until follow up as an outpatient.
Conclusion: In future patients with neurofibromas of the bladder, nephrostomy tube placement should be avoided if possible.
Included in
Urinary Bladder Neurofibroma Management and Complications
Introduction: Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder causing multisystemic manifestations at birth or an early age, with its most prominent symptom being widespread neurofibromas. These neurofibromas can present in any organ, leading to complications depending on their size and location.
Case Presentation: We present a 55-year-old African American female with bilateral nephrostomy tubes after resection of neurofibromas of the bladder.
Deviation From the Expected: The patient developed sepsis due to a urinary tract infection caused by the tubes. Urology and interventional radiology consultants discussed whether to replace the nephrostomy tubes during this admission or wait for her scheduled outpatient visit one week later
Discussion: Ultimately, the patient was discharged back to the skilled nursing facility on Meropenem, with a follow-up to see her urologist the following week for nephrostomy tube replacement. For patients with a nephrostomy, a stent exchange is recommended every three months. The main challenge in this case was deciding whether the patient required immediate tube exchange or to continue her antibiotic therapy and wait until follow up as an outpatient.
Conclusion: In future patients with neurofibromas of the bladder, nephrostomy tube placement should be avoided if possible.