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Unusual manifestations of gastric inflammatory fibroid polyp in a child

Voranush Chongsrisawat1, Phisek Yimyeam, Naruemon Wisedopas

  • 1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330 Thailand.

World Journal of Gastroenterology
|February 5, 2004
PubMed

Insights

A rare gastric inflammatory fibroid polyp (IFP) presented unusually in a 4-year-old girl with prolonged fever and anemia. Surgical removal resolved all symptoms, highlighting IFP

Area of Science:

  • Gastroenterology
  • Pediatric Pathology
  • Surgical Oncology

Background:

  • Inflammatory fibroid polyps (IFPs) are rare, benign gastrointestinal lesions.
  • Typically found in adults over 60, IFPs most commonly occur in the stomach's antrum.
  • Symptoms include abdominal pain, bleeding, obstruction, and intussusception.

Purpose of the Study:

  • To report a rare case of gastric IFP in a pediatric patient.
  • To highlight the unusual presenting symptoms of IFP in children.
  • To review the literature on IFP in the digestive tract.

Main Methods:

  • Case presentation of a 4-year-old girl with gastric IFP.
  • Review of relevant medical literature.
  • Surgical excision and pathological examination of the gastric mass.

Main Results:

  • A 4-year-old girl presented with a 2-month history of fever, arthralgia, anemia, and hypoalbuminemia.
  • Diagnostic imaging revealed a large gastric mass; partial gastrectomy confirmed IFP.
  • Post-surgery, the patient's fever, anemia, and arthralgia resolved, with no recurrence at 24 months.

Conclusions:

  • The etiology of IFP remains uncertain, but inflammatory processes are suspected.
  • Variable clinical presentations and locations complicate IFP diagnosis.
  • This case underscores IFP's potential for diverse and severe symptoms, even in pediatric patients.
Abstract

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