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. 2009:2009:bcr03.2009.1694.
doi: 10.1136/bcr.03.2009.1694. Epub 2009 Sep 2.

Midget submarine for diagnosing midgut lesions in children

Ward Vanagt  1 , Marc A De Bièvre, Anita M Van den Neucker, Ernst W Van Heurn, Pierre M Theunissen
Affiliations

Midget submarine for diagnosing midgut lesions in children

Ward Vanagt et al. BMJ Case Rep. 2009.

Abstract

Anaemia due to obscure gastrointestinal blood loss remains a challenge to the clinician, especially when blood loss is severe enough to result in profound anaemia while further investigations fail to identify the cause of bleeding. A description of how wireless capsule endoscopy revealed a bleeding jejunal haemangioma in a 2.5-year-old boy with recurrent anaemia is given. New techniques such as wireless capsule endoscopy and double balloon enteroscopy are feasible and provide a valuable adjunct to the diagnostic investigation of children with obscure enteral blood loss.

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Figures

Figure 1
Figure 1
Wireless capsule endoscopy demonstrates a partially ulcerated jejunal haemangioma.
See this image and copyright information in PMC

References

    1. Seidman EG, Sant’Anna AM, Dirks MH. Potential applications of wireless capsule endoscopy in the pediatric age group. Gastrointest Endosc Clin N Am 2004; 14: 207–17 - PubMed
    1. Sidhu R, Sanders DS, McAlindon ME, et al. Capsule endoscopy and enteroscopy: modern modalities to investigate the small bowel in paediatrics. Arch Dis Child 2008; 93: 154–9 - PubMed

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