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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

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|September 7, 2007
PubMed

Insights

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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