Pediatric Radiology

, Volume 42, Issue 12, pp 1517–1522

Ileal dysgenesis coexisting with multiple enteric duplication cysts in a child—MR enterography, CT, and Meckel scan appearances

  • Jonathan R. Dillman
  • Haley C. Neef
  • Peter F. Ehrlich
  • Raja Rabah
  • Peter J. Strouse
Case Report

DOI: 10.1007/s00247-012-2447-6

Cite this article as:
Dillman, J.R., Neef, H.C., Ehrlich, P.F. et al. Pediatr Radiol (2012) 42: 1517. doi:10.1007/s00247-012-2447-6

Abstract

There are numerous causes of iron deficiency anemia due to gastrointestinal tract bleeding in children. While a very thorough history may elucidate common etiologies, such as cow’s milk protein-induced colitis and nonsteroidal anti-inflammatory drug-related gastritis or peptic ulcer disease, other less frequent causes often present a diagnostic challenge. We present the MR enterography (MRE), CT and Meckel scan findings of ileal dysgenesis coexisting with multiple enteric duplication cysts in a young child who presented with chronic iron deficiency anemia, recurrent gastrointestinal tract bleeding and unexplained bowel perforation. In this case, MRE was able to identify and characterize each individual lesion and directly guide appropriate surgical management.

Keywords

ChildAnemiaMR enterographyIleal dysgenesis

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Jonathan R. Dillman
    • 1
  • Haley C. Neef
    • 2
  • Peter F. Ehrlich
    • 3
  • Raja Rabah
    • 4
  • Peter J. Strouse
    • 1
  1. 1.Department of Radiology, Section of Pediatric Radiology, C. S. Mott Children’s HospitalUniversity of Michigan Health SystemAnn ArborUSA
  2. 2.Department of Pediatrics & Communicable Diseases, Division of Pediatric Gastroenterology, C. S. Mott Children’s HospitalUniversity of Michigan Health SystemAnn ArborUSA
  3. 3.Department of Surgery, Section of Pediatric Surgery, C. S. Mott Children’s HospitalUniversity of Michigan Health SystemAnn ArborUSA
  4. 4.Department of PathologyUniversity of Michigan Health SystemAnn ArborUSA