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Infantile adenomyoma subclinically excreted into the patient's diaper

Katsuhiro Anami1, Kazuhiro Sentani, Naoya Sakamoto

  • 1Department of Molecular Pathology, Hiroshima University Graduate School of Biomedical Sciences, Minami-ku, Hiroshima, Japan.

Pathology International
|July 26, 2012
PubMed

Insights

This study reports an extremely rare case of infantile bowel adenomyoma, a gastrointestinal condition. The adenomyoma was incidentally found in a diaper, presenting a unique clinical manifestation.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Pathology

Background:

  • Adenomyoma is a rare gastrointestinal condition characterized by glandular structures within smooth muscle.
  • Most reported cases occur in the stomach's pyloric region; infantile bowel adenomyomas are exceptionally rare.
  • Literature review identified only 13 previously reported cases of infantile bowel adenomyoma.

Observation:

  • This report details an extremely rare case of an infantile bowel adenomyoma.
  • The adenomyoma presented unusually, being incidentally discovered in a diaper.
  • Immunohistochemical analysis was conducted to investigate the adenoma's origin.

Findings:

  • Intussusception is the most common complication in previously reported infantile bowel adenomyomas.
  • All prior cases necessitated surgical intervention via laparotomy.
  • This case represents a unique presentation and discovery method for infantile adenomyoma.

Implications:

  • This case expands the known clinical presentations of infantile bowel adenomyoma.
  • Understanding the origin through immunohistochemistry may offer insights into pathogenesis.
  • Highlights the importance of considering rare diagnoses in pediatric gastrointestinal issues.

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