Reminder of important clinical lesson
Midget submarine for diagnosing midgut lesions in children
1 Atrium Medical Center, Paediatrics, PO Box 4446, Heerlen, 6401 CX, The Netherlands
2 Maastricht University Medical Center, Paediatrics, PO Box 5800, Maastricht, 6202 AZ, The Netherlands
3 Atrium Medical Center, Gastro-enterology, PO Box 4446, Heerlen, 6401 CX, The Netherlands
Correspondence to:
Ward Vanagt, ward.vanagt{at}fys.unimaas.nl
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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