Idiopathic small bowel diaphragm disease identified by laparoscopic-assisted double-balloon enteroscopy in a child: an integrated successful definitive therapeutic method.
In adults, small bowel diaphragm disease is a rare complication of small bowel enteropathy secondary to the use of nonsteroidal antiinflammatory drugs. The main clinical manifestations are gastrointestinal bleeding and subacute obstruction, and management can be challenging. We present a case of a 5-year-old girl with small bowel diaphragm disease. To our knowledge, this is the first idiopathic case (no history of nonsteroidal antiinflammatory drug use) in the pediatric age group. This report describes an integrated successful definitive therapeutic method of double-balloon enteroscopy and minimal invasive bowel surgery for small bowel pathology.
Paediatric Surgical Unit, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, United Kingdom. giampsoccorso@doctors.org.uk
Giampiero
G
Soccorso
Ahmed
A
Sarkhy
Richard M
RM
Lindley
Sean S
SS
Marven
Mike
M
Thomson
D015746:Abdominal Pain / Q000209:etiology; D053704:Capsule Endoscopy; D002675:Child, Preschool; D003131:Combined Modality Therapy; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005355:Fibrosis; D005526:Food, Formulated; D006222:Hamartoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000178:diet therapy / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D007082:Ileum / Q000473:pathology; D007579:Jejunal Diseases / Q000175:diagnosis / Q000473:pathology; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods; D009130:Muscle, Smooth / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D012086:Reoperation
D011239:Prednisolone