Skip to main content
SpringerLink
Log in

Rectorragies du nouveau-né

Rectal bleeding in the neonate

  • Published:
Acta Endoscopica

Résumé

La survenue de rectorrragies en période néonatale est une éventualité fréquente relevant d’étiologies multiples. L’entérocolite ulcéro-nécrosante constitue la cause la plus redoutable mais la plus rare des rectorragies à cet âge. Dans la plupart des cas, les rectorragies sont bénignes et leur évolution est spontanément favorable. Les rectites ecchymotiques du nouveau né et du nourrisson sont de description récente. Leur diagnostic repose sur l’endoscopie. Leur évolution est rapidement favorable, ne nécessitant pas l’arrêt de l’alimentation. Plusieurs hypothèses étiopathogèniques sont actuellement discutées.

Summary

The occurrence of rectal bleeding in the neonatal period is frequent and caused by multiple etiologies. Ulcero-necrotizing enterocolitis is the most serious cause but the rarest of rectal bleeding at that age. In most cases, rectal bleeding is benign and the situations evolves well spontaneously. Ecchymotic rectitis of the neonate and of the infant have only recently been described. Their diagnosis depends on endoscopy. The situation rapidly improves and does not necessitate stopping feeding. Several etiopathogenic hypotheses are being discussed at the present time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. ABRAMO T.J., EVANS J.S., KOKOMOOR F.W., KANTAK A.D. — Occult blood in stools and necrotizing enterocolitis — is there a relationship?Am. J. Dis. Child., 1988,142, 451–452.

    PubMed  CAS  Google Scholar 

  2. ADLER S.P., CHANDRIKA T., BERMAN W.F. — Clostridium difficile associated with pseudomembranous colitis.Am. J. Dis. Child., 1981,135, 820–822.

    PubMed  CAS  Google Scholar 

  3. ANDERS B.J., LAUER B.A., PAISLEY J.W. — Campylobacter gastroenteritis in neonates.Am. J. Dis. Child., 1981,135, 900–902.

    PubMed  CAS  Google Scholar 

  4. AXELSON I., JAKOBSSON I., LINBERG T., BENEDIKTON B. — Bovine beta-lactoglobulin in the human milk.Acta Pediatr. Scand., 1986,75, 702–707.

    Article  Google Scholar 

  5. BAUDON J.-J., BOULESTEIX J., LAGARDERE B., FONTAINE J.-L. — Atrophie villositaire aiguë par intolérance aux protéines de soja.Arch. Fr. Pédiatr., 1976,3, 153–160.

    Google Scholar 

  6. BENHAMOU P.-H., DUPONT C. — Rectorragies du nouveau-né.Arch. Fr. Pediatr., 1990,47, 747–753.

    PubMed  CAS  Google Scholar 

  7. BEREZIN S., SCHWARTZ S.M., GLASMAN M., DAVIDIAN M., NEWMAN L.J. — Gastro-intestinal milk intolerance in infancy.Am. J. Child., 1989,143, 341–342.

    Google Scholar 

  8. BOLTON R.P., TAIT S.K., DEAR P.R.F., LOSOWSKI M.S. — Asymptomatic neonatal colonisation by Clostridium difficile.Arch. Dis. Child., 1984,59, 466–472.

    PubMed  CAS  Google Scholar 

  9. BUCK G.E., KELLY M.T., PICHANIK A.M. — Campylobacter jejuni: a cause of asymptomatic bloody diarrhea.Am. J. Dis. Child., 1982,136, 744.

    PubMed  CAS  Google Scholar 

  10. CALDERA R., FERMANIAN J., De LAVENNE P., BANZET M.N., BADOUAL J. — Analyse statistique d’un échantillon de soixante-deux cas d’entérocolite ulcéronécrosante du nouveau-né. 11e Journées Nationales de Médecine Périnatale, Marseille 1981; 1 Vol.; Arnette (Paris) 1982, 307–313.

  11. DENMAN A.M. — Graft versus host disease.Brit. Med. J., 1982,285, 1225–1226.

    Google Scholar 

  12. DONTA S.T., MYERS M.G. — Clostridium difficile toxin in asymptomatic neonates.J. Pediatr., 1982,100, 431–434.

    Article  PubMed  CAS  Google Scholar 

  13. DUPONT C., BADOUAL J., LE LUYER B., LEBOURGEOIS C., BARBET J.-P., VOYER M. — Rectosigmoidoscopic findings during isolated rectal bleeding in the neonate.J. Pediatr. Gastroenterol. Nutr., 1987,6, 257–264.

    Article  PubMed  CAS  Google Scholar 

  14. DUPONT C., PONS G., VOYER M. — Colite hémorragique du nouveau-né. Journées Parisiennes de Pédiatrie, Flammarion Ed, Paris 1983, 185–196.

  15. EPSTEIN R.J., McDONALD G.B., SALE G.E., SHULMAN H.M., DONNALL THOMAS E.D. — The diagnostic accuracy of the rectal biopsy in acute graft versus host disease: a prospective study of thirteen patients.Gastroenterology, 1980,78, 764–771.

    PubMed  CAS  Google Scholar 

  16. GAILLARD J.L., CHERON G., MOUGENOT J.-F., DESLYS J.-P., NEZELOFF C., SCHMITZ J. — Un E. Coli hémolytique à l’origine de rectorragies chez le nourrisson.Arch. Fr. Pédiatr., 1988,45, 590.

    Google Scholar 

  17. LACOMBE D., LAMOULIATTE F., BILEAUD C., SANDLER B. — Virus Breda et entéropathie hémorragique.Arch. Fr. Pédiatr., 1988,45, 439–442.

    Google Scholar 

  18. LAKE A.M., WHITINGTON P.F., HAMILTON S.R. — Dietary-protein induced colitis in breast fed infants.J. Pediatr., 1982,101, 906–910.

    Article  PubMed  CAS  Google Scholar 

  19. LAKE A.M., WALKER W.A. — Neonatal Necrotizing Enterocolitis: A Disease of altered host defense.Clin. Gastoenterol., 1977,6, 463–481.

    CAS  Google Scholar 

  20. LE LUYER B., LE BIHAN M., MALLET E., METAYER P., DE MENIBUS C.H. — L’entérite à campylobacter jejuni chez l’enfant.Ann. Pédiatr., 1982,29, 573–576.

    Google Scholar 

  21. LEVENE M.I. — Rectal bleeding in the first month of life.Postgrad. Med. J., 1979,55, 22–23.

    Article  PubMed  CAS  Google Scholar 

  22. MAC CANDLESS A.E. — Ileocolitis folowing exchange transfusion.Lancet, 1971,2, 762.

    Article  Google Scholar 

  23. PARKMAN R., MOSIER D., UMANSKI I., COCHRAN N., CARPENTIER C.B., ROSEN F.S. — Post-transfusion syndromeN. Engl. J. Med., 1974,290, 359–363.

    PubMed  CAS  Google Scholar 

  24. PAULIAT S., ABADIE V., GAILLARD J.L. — Colites ecchymotiques du nouveau-né et colonisation massive par les entérobactéries. Journées Parisiennes de Pédiatrie; Flammarion Ed, Paris 1993, 267–273.

  25. ROMANO M., EL MARSAFI A., MARSEGLIA G.L., RIGAL D., SALLE B., TOURAINE J.L. — Increased percentage of activated Ia+ T Lymphocytes in peripheral blood of neonates following exchange blood transfusion.Clin. Immunol. Immunopathol., 1987,43, 301–307.

    Article  PubMed  CAS  Google Scholar 

  26. SHERERTZ R.J., SARUBBI F.A. — The prevalence of Clostridium difficile and toxin in a nursery population: a comparison between patients with necrotizing enterocolitis and an asymptomatic group.J. Pediatr., 1982,100, 435–439.

    Article  PubMed  CAS  Google Scholar 

  27. TOULOUKIAN R.J., POSH J.N., SPENCER R. — The pathogenesis of ischemic gastroenterocolitis of the neonate: selective mucosal ischemia in asphyxied neonatal pigs.J. Pediatr. Surg., 1972,7, 194–205.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Unité de Gastro-Entérologie Pédiatrique, Hôpital Saint-Vincent de Paul, 74, avenue Denfert-Rochereau, 75674, Paris Cedex 14

    P. H. Benhamou, A. Cheikh & Ch. Dupont

  2. Centre d’Exploration Digestive de l’Enfant, 105 avenue Victor-Hugo, 92100, Boulogne

    P. H. Benhamou & P. Y. Vannerom

Authors
  1. P. H. Benhamou
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Cheikh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Y. Vannerom
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ch. Dupont
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Benhamou, P.H., Cheikh, A., Vannerom, P.Y. et al. Rectorragies du nouveau-né. Acta Endosc 24, 469–476 (1994). https://doi.org/10.1007/BF02968668

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02968668

Mots-clés

Key-words

Search

Navigation