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Gastric fibrolipoma causing bleeding in a child
D Antoniou1, M Soutis, K Stefanaki
12nd Department of Pediatric Surgery, Aghia Sophia Children's Hospital, Athens, Greece. dcantoniou@hotmail.com
Summary
A rare gastric fibrolipoma, a benign tumor, caused significant bleeding in a 10-year-old boy. Surgical excision successfully removed the submucosal mass, resolving the gastrointestinal bleeding.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Pathology
Background:
- Gastrointestinal lipomas are rare, benign mesenchymal tumors.
- They most commonly occur in the colon, with gastric involvement being exceptionally uncommon.
- Submucosal gastric lipomas can present with significant complications like bleeding.
Observation:
- A 10-year-old boy presented with epigastric pain and melena.
- Gastroscopy identified a polypoid lesion in the stomach.
- The patient experienced recurrent bleeding and anemia, necessitating surgical intervention.
Findings:
- Histopathology confirmed a submucosal gastric fibrolipoma.
- The lesion was completely excised via laparotomy.
- Complete resection was achieved (in toto).
Implications:
- This case highlights the importance of considering rare gastric tumors in pediatric patients with gastrointestinal bleeding.
- Prompt diagnosis and surgical management are crucial for favorable outcomes.
- Fibrolipomas, though benign, can cause life-threatening hemorrhage if left untreated.
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