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Long-Term Catheterization of the Intestinal Lymph Trunk and Collection of Lymph in Neonatal Pigs
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Fatal Course of Abdominal Neonatal Intestinal Fibrosarcoma
Béatrice Boutillier1, Liesbeth Cardoen1, Marianne Alison1
1Department of Radiology, Robert-Debré University Hospital, Assistance-Publique Hôpitaux de Paris, Paris, Île-de-France, France.
European Journal of Pediatric Surgery Reports
|June 14, 2019
Summary
Infantile fibrosarcoma (IFS), a rare childhood cancer, can present as bowel obstruction in newborns. Histology after surgery confirms the diagnosis, as imaging features are not specific for this rare soft tissue tumor.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
- Gastrointestinal Surgery
Background:
- Infantile fibrosarcoma (IFS) is a rare nonrhabdomyosarcoma soft tissue tumor, comprising less than 1% of childhood cancers.
- While 40% of cases are congenital, abdominal presentation is infrequent, occurring in only 10% of infantile fibrosarcomas.
Observation:
- A case of neonatal fibrosarcoma presented with distal small bowel stenosis.
- This was further complicated by meconium peritonitis, indicating a severe abdominal complication.
Findings:
- Diagnosis was confirmed through histological examination of the surgical resection specimen.
- Infantile fibrosarcoma diagnosis is challenging due to a lack of specific imaging features.
Implications:
- Unexpected solid lesions in the pediatric bowel warrant suspicion for complicated tumoral lesions.
- In suspected neoplastic cases, delaying extensive surgery until a definitive diagnosis is established may be prudent.
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