Pediatric Colonic Xanthomas, a Previously Unreported Colonoscopic Finding

Jon A Vanderhoof; Jeffrey D Goldsmith; Rosemary Pauley; Victor L Fox

doi:10.1097/PG9.0000000000000329

Pediatric Colonic Xanthomas, a Previously Unreported Colonoscopic Finding

JPGN Rep. 2023 Jun 9;4(3):e329. doi: 10.1097/PG9.0000000000000329. eCollection 2023 Aug.

Authors

Jon A Vanderhoof¹, Jeffrey D Goldsmith², Rosemary Pauley³, Victor L Fox⁴

Affiliations

¹ From the 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.

Keywords: colon; colonoscopy; polyps; xanthoma.

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

Publication types

Case Reports