Gastric fibrolipoma causing bleeding in a child.
Gastrointestinal lipomas are uncommon benign tumors usually occurring in the colon and rarely in the stomach. We report a case of a 10-year-old boy who presented with a two-week history of epigastric abdominal pain and several episodes of melena. Gastroscopy revealed a soft, elevated, broad based, polypoid lesion on the posterior wall, without superficial erosion or ulceration. One week later the patient was readmitted with melena and hematemesis, followed by a significant drop of hematocrit levels. A laparotomy was carried out and the mass was excised. Histological findings were consistent with a submucosal gastric fibrolipoma resected IN TOTO. The clinical presentation, diagnosis and management of this condition are discussed.
Antoniou
D
D
2nd Department of Pediatric Surgery, Aghia Sophia Children's Hospital, Athens, Greece. dcantoniou@hotmail.com
Soutis
M
M
Stefanaki
K
K
Christopoulos-Geroulanos
G
G
D001706:Biopsy; D002648:Child; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery