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Unusual association of diseases/symptoms
CASE REPORT
Segmental dilatation of small bowel presenting with severe anaemia: a diagnostic puzzle
  1. Ankita Jain1,
  2. Mike Cosgrove2,
  3. Daniel Aronson3
  1. 1Department of Paediatrics, Abertawe Bro Morgannwg University Health Board, Swansea, UK
  2. 2Department of Paediatrics, Morriston Hospital, Swansea, UK
  3. 3Department of Paediatric Surgery, University Children’s Hospital Zurich, Zurich, Switzerland
  1. Correspondence to Dr Ankita Jain, ankita{at}doctors.org.uk

Summary

A 7-year-old boy presented to Paediatric outpatient with worsening lethargy and tiredness. On examination he had extreme pallor. Blood investigations confirmed severe iron deficiency anaemia. He was started on iron supplements and received blood transfusion. However, the response to iron treatment was suboptimal, he therefore underwent extensive workup for the cause of iron deficiency anaemia. The barium meal showed dilated segments of ileum with two distal stenoses. The surgical resection of the involved segment was performed with end to end anastamosis. Histology of the resected segment was inconclusive of inflammatory bowel disease, malignancy or vascular malformation. The child has remained well since surgery with no further blood transfusion or iron therapy.

  • gastrointestinal system
  • haematology (incl blood transfusion)

https://doi.org/10.1136/bcr-2017-222984

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    Footnotes

    • Contributors AJ: wrote the first draft of the manuscript. AJ and MC: were involved in the conception of the case report. MC and DA: edited the manuscript and approved it for final submission.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Disclaimer 1. Affilia3.None

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.