An unexpected finding in a child with rectal blood loss using video capsule endoscopy
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Video capsule endoscopy (VCE) has recently enabled direct visualization of the small bowel mucosa. It is a non-invasive, painless procedure and provides detailed images from areas not accessible utilizing other radiographic or endoscopic methods. Capsule endoscopy has been reported to have a diagnostic yield for small bowel pathology greater than that derived from regular endoscopic and radiographic examinations [1, 3]. The diagnosis of obscure bleeding is currently the most frequent indication for capsule endoscopy in adults . Although VCE is becoming an increasingly popular procedure, well-designed studies on its clinical implications and application are only just emerging. In this report, we present a boy with rectal blood loss. Despite a negative result from radionuclide imaging, there was still a high clinical suspicion of a Meckel’s diverticulum. Consequently, VCE was performed with the purpose of avoiding unnecessary surgical treatment.
KeywordsCeliac Disease Intussusception Pertechnetate Pyloric Stenosis Chronic Abdominal Pain
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