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[Intrapancreatic lipoma: a case report]

C Boglino1, A Inserra, A Silvano

  • 1Divisione Chirurgia Generale Pediatrica, Ospedale Pediatrico Bambino Gesù, Roma.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|July 1, 1993
PubMed
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A rare pancreatic lipoma, a benign fatty tumor, was found incidentally in an asymptomatic 11-month-old child. This pediatric case highlights the importance of considering lipomas in abdominal masses.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Medical Imaging

Background:

  • Pancreatic lipomas are rare benign tumors, typically presenting in adults.
  • Asymptomatic presentation in infants is exceptionally uncommon.
  • Accurate diagnosis is crucial for appropriate management.

Observation:

  • An 11-month-old child presented with an incidentally discovered abdominal mass during a grip episode.
  • Preoperative imaging revealed a well-defined, multilobed, encapsulated pancreatic neoformation.
  • The mass was located between the transverse colon, spleen, and stomach without local infiltration.

Findings:

  • Histological examination confirmed a mature lipoma of the pancreas.
  • The tumor demonstrated classic benign fatty tissue characteristics.

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  • Differential diagnosis included other pediatric fat-containing tumors.
  • Implications:

    • This case expands the known spectrum of pancreatic lipoma presentation in pediatric patients.
    • It underscores the need for thorough histopathological evaluation of pancreatic masses in children.
    • Further research into the etiology and behavior of pediatric pancreatic lipomas is warranted.