News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Pediatrics Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Pediatrics Answers List

Forum Name: Pediatric Topics

Question: 2 year old with lump under sternum


 greengurl61 - Thu Aug 05, 2010 6:12 am

My 2 year old son has 1 maybe 2 lumps under his xyphoid process and toward the left side under the ribs immediately attached there. What could this be? Lipoma? But it isn't on the surface it seems more internal.
Thanks for any help you can give.
 Dr.M.Aroon kamath - Thu Aug 05, 2010 1:04 pm

User avatar Hi,
There could be several causes for a lump close to the xiphisternum in this age group.
- benign soft tissue tumors(lipomas, neurofibromas)
- rectus sheath hematomas.

One of the more common causes of abdominal wall trauma in children is lap belt injury. In addition to intraabdominal manifestations such as bowel injury, lap belt injuries can result in contusion or hematoma of the anterior abdominal wall. If there is injury to the structures within the rectus sheath (rectus abdominis muscle, the superior and inferior epigastric vessels), a rectus sheath hematoma results. It can be occur in any part of the rectus sheath(more common below the arcuate line). Occasionally, it occurs as a feature of child abuse.

In your child's case, as there is no history of pain, tenderness or redness(to suggest a rectus sheath hematoma), a lipoma or a neurofibroma are the more likely diagnoses to be entertained.You must show your son to his pediatrician who will be able to arrive at a more definitive diagnosis after examining your son.
Best wishes!

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here