Unusual Cause and Association of Gastrointestinal Bleed in a Young Boy

Abstract

A 4-year old child, previously operated case of tetralogy of Fallot present with recurrent episodes of massive lower gastrointestinal bleed of one year duration. Endoscopic evaluation revealed multiple bluish vascular lesions in the duodenum and proximal jejunum and a single rectal polyp. Histology of the lesion was suggestive of venous malformation consistent with blue rubber bleb nevus syndrome (BRBNS). Child underwent endoscopic snaring and surgical resection with end to end anastomosis. At six months’ follow-up child was asymptomatic without any bleed episodes.

Open Surgery with Intraoperative Enteroscopy in Jejunoileal Massive Bleeding in Pediatric Patient: An Evidence-Based Case Report

“…All of the patients had no recurrence after the surgery. 11,12,13,14,15,16 This report shows that all of the articles have no recurrence after surgery, even though the surgery is done laparoscopically.…”

“…Six articles combined open surgery with intraoperative enteroscopy, and others with laparoscopic surgery in combination with enteroscopy, super-selective angiography, and embolization, and laparotomy RA alone with preoperative angiography. 11,12,13,14,15,16…”