Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature

Document Type : Case Report


1 Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Endocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

3 Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Salivary gland anlage tumor (SGAT) is a rare but benign tumor of the nasopharynx that most commonly presents with symptoms of obstruction, including severe respiratory distress. There are multiple reports of SGAT in the literature proposing it as an important differential diagnosis of nasal obstruction in the early weeks of life. However, primary manifestations other than respiratory distress have not been reported with SGAT.
Case report: An18-hour-old neonate presented with feeding intolerance and coffee ground vomiting since the 6thhour of birth and was admitted to the neonatal intensive care unit. An orogastric tube was inserted for irrigation, and secretions were persistently bloody after 24 hours. At the 36th hour of birth, mild subcostal retraction developed with a slight increase in the respiratory rate as well as bloody secretions from the nose.  At the 48th hour, subcostal retraction became severe accompanied by tachypnea. All symptoms resolved completely within 2 hours of spontaneous vomiting containing a polypoid mass.
Conclusion: The SGAT should be considered a differential diagnosis of nasopharyngeal obstruction in the early weeks of life.


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