[Gastric fibroid polyp in a 4-month-old girl with Costello syndrome]

R Campus1, M Di Rocco, A R Sementa

  • 1Pronto Soccorso Chirurgico, Istituto Giannina Gaslini, Genova. rixcampus@hotmail.com

Insights

A rare gastric fibroid polyp was found in an infant with Costello syndrome. This genetic disorder has a high tumor frequency, and this case marks the first documented instance of this specific tumor type.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Genetics
  • Surgical Oncology

Background:

  • Costello syndrome is a rare genetic disorder associated with a high predisposition to developing various tumors.
  • Gastric fibroid polyps are uncommon benign neoplasms of the stomach.

Observation:

  • A 4-month-old female infant presented with an incidentally discovered gastric fibroid polyp.
  • Diagnostic imaging, including sonography and computerized tomography, confirmed the presence of the gastric lesion.
  • The infant exhibited clinical features consistent with Costello syndrome.

Findings:

  • The gastric fibroid polyp, a rare benign tumor, was successfully surgically excised.
  • This case represents the first documented instance of a gastric fibroid polyp occurring in an individual with Costello syndrome.

Implications:

  • This finding expands the spectrum of gastrointestinal manifestations associated with Costello syndrome.
  • Highlights the importance of vigilant surveillance for neoplasms in patients with Costello syndrome.
  • Contributes to understanding the tumorigenesis in rare genetic syndromes.

Related Concept Videos

Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...