Repeated gastrointestinal bleeding
Authors:
L. Pokorná Klímová 1; J. Gut 1; P. Tlustá 2; K. Zárubová 3; J. Bronský 3; L. Zeman 4; B. Frýbová 4; J. Soukup 5; J. Balko 5; D. Kodetová 5
Authors‘ workplace:
Dětské oddělení NsP, Česká Lípa
1; Dětská klinika Masarykovy nemocnice, Ústí nad Labem
2; Pediatrická klinika 2. LF UK a FN Motol, Praha
3; Klinika dětské chirurgie 2. LF UK a FN Motol, Praha
4; Ústav patologie a molekulární medicíny 2. LF UK a FN Motol, Praha
5
Published in:
Čes-slov Pediat 2017; 72 (1): 45-50.
Category:
Case Report
Overview
This study presents a clinical case of a seventeen years old girl with repeated epizodes of gastrointestinal bleeding. Several gastrointestinal investigation procedures were performed to reveal the source of repeated haemorrhage. Consecutive diagnostic and therapeutic laparoscopic revision of the abdominal cavity with resection of the affected part of the bowel resulted in surprising diagnostic conclusion: angiodysplasia.
Authors discusse angiodysplasia in detail because such vascular laesions belong to extremely rare causes of gastrointestinal haemorrhage in childhood.
Key words:
adolescence, abdominal pain, melena, enterorrhagia, anaemia, angiodysplasia.
Sources
1. Nevoral J, et al. Praktická pediatrická gastroenterologie, hepatologie a výživa. Praha: Mladá fronta, 2013: 76, 145, 267. ISBN 9788020428639.
2. Deepak G, et al. Small bowel bleeding: a comprehensive review. Gastroenterology Report 2014 Nov 29; 2 (4): 262–275. Epub 2014 May 29.
3. de la Torre Modragón L, Vargas Gómez MA, et al. Angiodysplasia of the colon in children. J Pediatr Surg 1995 Jan; 360 (1): 72–75.
4. Tonea A, Andrei S, et al. Difficulties in diagnosis and surgical treatment of the angiodysplasia of the gastrointestinal tract. Chirurgia (Bucur) 2008 Sep-Oct; 103 (5): 513–528.
5. Choi SO, Paak WH, Hwang JB, et al. Diffuse microscopic angiodysplasia and nodular hyperplasia in an infant with obscure massive lower gastrointestinal bleeding: a diagnostic challenge. J Pediatr Surg 2009 Apr; 44 (4): 852–855.
6. Kimpton JA, Bowen JC, Craigie RJ. Paediatric angiodysplasia of the jejunum: a case report and review of the literature. Scott Med J 2012 Nov; 57 (4): 247.
7. Serife Aktasa, et al. Gastrointestinal tract hemorrhage due to angiodysplasia in Hutchinson Gilfort Progeria syndrome. J Med Cases 2013 Aug; 4 (8): 576–578.
8. Witte MH, et al. Genetics of childhood lymphedema-angiodysplasia syndromes. National Lymphedema Network. Lymph Link Article Reprint 2006 Apr-Jul; 18 (2): 1–2.
9. Kaaroud H, et al. Gastrointestinal angiodysplasia in chronic renal failure. Saudi J Kidney Dis Transpl 2008; 19: 809–812.
10. Al-Mehaidib AI, et al. Gastrointestinal angiodysplasia in three children and review of the literature. JPGN 2004 Jun; 39: 351.
11. Pedrosa MC, Friedman LS, Travis AC. Angiodysplasia of the gastrointestinal tract. UpToDate Wolters Kluwer. Dostupné na www.uptodate.com/contents/angiodysplasia-of-the-gastrointestinal-tract“ysplasia-of-the-gastrointestinal-tract.
Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2017 Issue 1
Most read in this issue
- Haemophilus diseases in ENT in children before and after the introduction of Haemophilus influenzae type b vaccine
- Repeated gastrointestinal bleeding
- General Movements – examination of immature nervous system
- Guideline for the Neurodiagnostic Evaluation of the Child With a Simple Febrile Seizure. Adapted Clinical Practice Guideline of the American Academy of Pediatrics