Diffuse microscopic angiodysplasia and nodular lymphoid hyperplasia in an infant with obscure massive lower gastrointestinal bleeding: a diagnostic challenge.
The authors report a rare case of diffuse microscopic angiodysplasia and nodular lymphoid hyperplasia involving the distal ileum and total colon in a 13-month-old girl who had recurrent episodes of massive lower gastrointestinal bleeding of obscure origin. Colonoscopy showed multiple nodular hyperplasia and mucosal erosions, and all other diagnostic studies were negative. At laparotomy, intraoperative transluminal endoscopic transillumination was of benefit in identifying the bleeding foci but could not detect every angiodysplastic lesion.
Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of Korea. choi1635@damc.or.kr
Soon-Ok
SO
Choi
Woo-Hyun
WH
Park
Jin-Bok
JB
Hwang
Sang Pyo
SP
Kim
Ae Suk
AS
Kim
D000714:Anastomosis, Surgical; D016888:Angiodysplasia / Q000150:complications* / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D003113:Colonoscopy / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006323:Heart Arrest / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006965:Hyperplasia / Q000473:pathology; D007077:Ileal Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery; D007223:Infant; D008206:Lymphatic Diseases / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications / Q000503:physiopathology; D011300:Preoperative Care / Q000379:methods; D035583:Rare Diseases; D012002:Rectal Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014741:Video Recording