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Review
. 2004 Feb 1;10(3):460-2.
doi: 10.3748/wjg.v10.i3.460.

Unusual manifestations of gastric inflammatory fibroid polyp in a child

Voranush Chongsrisawat  1 , Phisek Yimyeam, Naruemon Wisedopas, Dusit Viravaidya, Yong Poovorawan
Affiliations
Review

Unusual manifestations of gastric inflammatory fibroid polyp in a child

Voranush Chongsrisawat et al. World J Gastroenterol. .

Abstract

Aim: Inflammatory fibroid polyp (IFP) is a rare benign lesion that may occur throughout the digestive tract. IFP is more commonly found in the antrum of the stomach in particular. It mostly affects adults at the average age of 60 years. These polyps are able to cause abdominal pain, gastrointestinal bleeding, intestinal obstruction or intussusception. In this paper we report a case of gastric IFP with unusual presenting features.

Methods: A child with gastric IFP was described and the literature was reviewed.

Results: A 4-year-old girl presented with fever for 2 months, arthralgia of knees and ankles, iron deficiency anemia, and hypoalbuminemia. Her stool examination was positive for occult blood. The upper gastrointestinal study demonstrated a large lobulated mass at the upper part of gastric body. Partial gastrectomy en bloc with this 5 cm x 8 cm mass was subsequently performed. Pathological examination was consistent with IFP. Following the mass excision, her fever abruptly declined and disappeared together with anemia and arthralgia. She remained asymptomatic and the abdominal ultrasonography performed at the 24-month follow-up demonstrated no recurrence of the tumor.

Conclusion: The etiopathogenesis of IFP still remains unclear. The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose. The inflammatory symptoms found in this patient support the hypothesis of inflammatory benign lesions of IFP.

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Figures

Figure 1
Figure 1
A large lobulated mass at the upper part of gastric body (arrow head) shown by radiography.
Figure 2
Figure 2
Packed spindle-shaped cells, proliferated vessels and inflammatory cells, mostly eosinophils observed in tumor (H&E, 10 × 40).
See this image and copyright information in PMC

References

    1. Murphy S, Shaw K, Blanchard H. Report of three gastric tumors in children. J Pediatr Surg. 1994;29:1202–1204. - PubMed
    1. Attard TM, Yardley JH, Cuffari C. Gastric polyps in pediatrics: an 18-year hospital-based analysis. Am J Gastroenterol. 2002;97:298–301. - PubMed
    1. Buciuto R, Kullman E, Boeryd B, Borch K. Helicobacter pylori gastritis associated with a gastric inflammatory fibroid tumour and sarcoidosis. Eur J Surg. 1996;162:421–424. - PubMed
    1. Matsushita M, Hajiro K, Okazaki K, Takakuwa H. Endoscopic features of gastric inflammatory fibroid polyps. Am J Gastroenterol. 1996;91:1595–1598. - PubMed
    1. Hizawa K, Iida M, Tada S, Fuchigami T, Kuwano Y, Yao T, Fujishima M. Endoscopic evaluation of gastric inflammatory fibroid polyp. Surg Endosc. 1995;9:397–400. - PubMed

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