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| Year : 2001 | Volume
: 6
| Issue : 4 | Page : 149-151 |
Massive gastrointestinal bleeding in an infant : a diagnostic dilemma
T Kumar, AV Jiwane, P Kothari, BK Kulkarni, S Sane, P. Sawant
Department of Pediatric Surgery, LTMM College & LTMG Hospital Sion, Mumbai-400022, India
Correspondence Address:
T Kumar
Department of Pediatric Surgery, LTMM College & LTMG Hospital Sion, Mumbai-400022
India
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: An 8-month old female child presented with complaints of malena and hematochezia requiring 13 units of blood. All investigations prior to surgery could not ascertain the cause of bleeding. Exploratory laparotomy and peroperative endoscopy revealed thickened jejunum and multiple mucosal erosions in the distal jejunum and the proximal ileum. Small gut biopsy revealed (i) moderate flattering and ulceration of jejunal mucosa (ii) diffuse infiltration of lamina propria and submucosa by eosinophils and (iii) prominent and congested capillaries. Lymph node biopsy showed follicular hyperplasia and lympho-histiocytes. Post-laparatomy, stool examination, done by concentration method, revealed ova of Ancylostoma duodenale. The patient was treated with albendazole for 21 days, starting on the fourth postoperative day, following which the gastrointestinal bleeding stopped completely.
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