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

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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.

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Authors and Affiliations

  1. Department of Radiology, Section of Pediatric Radiology, C. S. Mott Children’s Hospital, University of Michigan Health System, 1540 East Hospital Drive, Ann Arbor, MI, 48109-4252, USA

    Jonathan R. Dillman & Peter J. Strouse

  2. Department of Pediatrics & Communicable Diseases, Division of Pediatric Gastroenterology, C. S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI, USA

    Haley C. Neef

  3. Department of Surgery, Section of Pediatric Surgery, C. S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI, USA

    Peter F. Ehrlich

  4. Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA

    Raja Rabah

Authors
  1. Jonathan R. Dillman
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  2. Haley C. Neef
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  3. Peter F. Ehrlich
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  4. Raja Rabah
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  5. Peter J. Strouse
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Correspondence to Jonathan R. Dillman.

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Dillman, J.R., Neef, H.C., Ehrlich, P.F. et al. Ileal dysgenesis coexisting with multiple enteric duplication cysts in a child—MR enterography, CT, and Meckel scan appearances. Pediatr Radiol 42, 1517–1522 (2012). https://doi.org/10.1007/s00247-012-2447-6

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  • DOI: https://doi.org/10.1007/s00247-012-2447-6

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