Article Text

Reminder of important clinical lesson
Midget submarine for diagnosing midgut lesions in children
  1. Ward Vanagt1,2,
  2. Marc A De Bièvre3,
  3. Anita M Van den Neucker2,
  4. Ernst W Van Heurn2,
  5. Pierre M Theunissen
  1. 1
    Atrium Medical Center, Paediatrics, PO Box 4446, Heerlen, 6401 CX, The Netherlands
  2. 2
    Maastricht University Medical Center, Paediatrics, PO Box 5800, Maastricht, 6202 AZ, The Netherlands
  3. 3
    Atrium Medical Center, Gastro-enterology, PO Box 4446, Heerlen, 6401 CX, The Netherlands
  1. Ward Vanagt, ward.vanagt{at}


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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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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