Solitary infantile gastrointestinal myofibroma: case report

Rodrigo Menéndez-Arzac1, David Valdez-Méndez, Rodolfo Landa

  • 1Department of Pediatric Surgery, Hospital General Dr Manuel Gea Gonzalez, México City, Mexico. rmenendez@prodigy.net.mx

Insights

A rare gastrointestinal myofibroma caused an emergency intestinal obstruction in a 7-year-old child. This solitary tumor is exceptionally rare, with fewer than 10 cases documented globally.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Oncology

Background:

  • Acute abdomen in children often necessitates emergency surgical intervention.
  • Appendicitis is a common cause, but other intra-abdominal pathologies must be considered.
  • Intestinal obstruction presents a surgical emergency requiring prompt diagnosis and management.

Observation:

  • A 7-year-old child presented with symptoms of acute abdomen, initially suspected to be acute appendicitis.
  • Emergency laparotomy revealed a small bowel tumor causing intestinal occlusion.
  • The tumor was identified as a solitary gastrointestinal myofibroma.

Findings:

  • Gastrointestinal myofibromas are exceedingly rare mesenchymal neoplasms.
  • Solitary presentations are particularly uncommon, with limited cases reported in the literature.
  • This case highlights a unique instance of a pediatric gastrointestinal myofibroma causing significant morbidity.

Implications:

  • This case expands the known clinical spectrum of gastrointestinal myofibromas.
  • It underscores the importance of considering rare pathologies in pediatric surgical emergencies.
  • Further research into the etiology and management of these rare tumors is warranted.

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