Pediatric Colonic Xanthomas, a Previously Unreported Colonoscopic Finding

Author:

Vanderhoof Jon A.1,Goldsmith Jeffrey D.2,Pauley Rosemary3,Fox Victor L.4

Affiliation:

1. Department of Gastroenterology, Harvard Medical School, Boston Children’s Hospital, Boys Town National Research Hospital, Boys Town, NE

2. Department of Pathology, Boston Children’s Hospital, Harvard Medical School, Brigham and Women’s Hospital, Boston, MA

3. Department of Pediatric Gastroenterology, Boys Town National Research Hospital, Boys Town, NE

4. Department of Gastroenterology, GI Endoscopy and Procedure Unit, Division of Gastroenterology, Hepatology, and Nutrition, GI Consultant, Vascular Anomalies Center, Boston Children’s Hospital, Harvard Medical School, Boston, MA.

Abstract

Gastrointestinal xanthomas are benign, usually sessile, polypoid lesions occasionally incidentally seen in adults, usually in the stomach, but have not been reported in the large intestine in children. We identified xanthomas in the sigmoid colon of the 15-year-old girl confirmed histologically. Our findings suggest that colonic xanthomas may occur as an incidental finding in pediatric patients. They have a characteristic visual and histologic appearance but do not appear to be associated with any symptoms or illness and do not require follow-up.

Publisher

Wiley

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference5 articles.

1. Colorectal xanthomas with polypoid lesion: report of 25 cases.;Nakasono;APMIS,2004

2. Xanthomas of the stomach: a report of two cases.;Andrejić;Bosn J Basic Med Sci,2012

3. Multiple gastric xanthomas in a 3-year-old patient.;Halabi;Gastroenterol Hepatol,2010

4. Gastric xanthoma: an incidental and unusual finding.;Abu-Alreesh;Pediatr Gastroenterol Nutr,2021

5. Rectosigmoid xanthoma as a predictive marker for sporadic rectosigmoid cancer.;Okano;J Clin Gastroenterol,2011

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