Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8811406 | Journal of Pediatric Surgery Case Reports | 2017 | 4 Pages |
Abstract
Diagnostic laparoscopy revealed intra-abdominal adhesions and no clear vascular malformation. Initial careful visual and manual examination of the bowel after conversion to laparotomy failed to identify the lesion. On-table retrograde enteroscopy demonstrated a small, pulsatile lesion without ulceration or adherent clot in the mucosa of the proximal ileum. With endoscopic transillumination, a cluster of serpiginous vessels could be seen within the wall of the small bowel. The lesion was resected and pathology was consistent with angiodysplasia. Angiodysplasia is a rare cause of occult, chronic gastrointestinal bleeding in children. A multidisciplinary approach optimizes the likelihood of therapeutic success.
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Authors
Andrew Jackson Murphy, Anna P. Lillis, Harry P. Kozakewich, Ahmad I. Alomari, Heung Bae Kim, Victor L. Fox,