Lower Gastrointestinal Bleeding (Melena)

  • Georges L. Kaiser


The blood that is lost by the anus may be fresh or denaturated # and associated with # or without mucus. The blood may lie on the stool, or the stool may be intermingled with blood – in the former case, often added during defecation. Several components of ingested food such as beetroots may feign melena or the blood originate from a urethral, vaginal, or perianal lesion. Therefore, a specific history and precise local inspection including the stool are very important. The causes of melena relevant to pediatric surgery are listed in Table 23.1.


Percutaneous Endoscopic Gastrostomy Familial Polyposis Gastric Volvulus Lower Gastrointestinal Bleeding Anastomotic Ulceration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


General and Differential Diagnosis

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Section 23.1

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Georges L. Kaiser
    • 1
  1. 1.Department of Pediatric Surgery InselspitalUniversity of BerneBerneSwitzerland

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