Last update:

   24-Mar-2005
 

Arch Hellen Med, 21(6), November-December 2004, 567-570

SHORT COMMUNICATION

Intestinal bleeding of obscure origin in childhood:
Diagnosis and treatment by means of laparoscopy

N. BALTOGIANNIS,1 Ε. FAVIOU,2 Ε. PAPANDREOU,1 V. CHARISI,1 S. NIKOLAOU,1 D. KERAMIDAS1
1Department of Pediatric Surgery, “Aghia Sophia” Children’s Hospital, Athens
2Bio-check Int, SA, Medical Diagnostic Center, Athens, Greece

Gastrointestinal bleeding in children often poses a diagnostic and therapeutic challenge for pediatric surgeons, especially when there is no identifiable source found by means of endoscopy and scintiscan investigation. The case is described of a 13 year-old boy with intestinal bleeding of obscure origin. A Meckel’s diverticulum with ectopic gastric mucosa was diagnosed by means of exploratory laparoscopy and Meckel’s diverticulectomy was performed immediately. The patient was discharged with no complications five days later. Thus, the laparoscopic approach is safe and effective in the diagnosis and treatment of Meckel’s diverticulum and constitutes a valuable tool in the evaluation and treatment of gastrointestinal bleeding of obscure sources in children.

Key words: Childhood, Intestinal bleeding, Laparoscopy, Meckel’s diverticulum HIV-focal segmental glomerulosclerosis or HIV-associated nephropathy in a Greek patient.


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