title: [2 nonspecific cecal ulcers in a 6-year-old child as a cause of intestinal hemorrhage].
abstract: This is a report on recurrent rectal bleedings in a 6-year-old boy caused by 2 non-specific ulcers of the caecum. These ulcers are extremely rare in childhood and their aetiology is unknown. In this case the causative factor was supposed to be a preliminary cortisone therapy. The diagnosis of these ulcers is quite difficult because of the absence of any specific symptoms. X-ray and endoscopy of the colon often fail to give reliable results. Usually the diagnosis can be obtained only by laparotomy and histology. In therapy hemicolectomy is suggested to prevent perforation as the most usual complication. During conservative treatment coloscopic findings have to be controlled constantly.
mesh_terms: D002429:Cecal Diseases / Q000473:pathology* / Q000601:surgery; D002432:Cecum / Q000473:pathology; D002648:Child; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D014456:Ulcer / Q000473:pathology* / Q000601:surgery
vernacular_title: Zwei unspezifische Zökalulzera bei einem sechsjährigen Kind als Ursache intestinaler Blutungen.