Dahshan Ahmed
W V Med J. 2014 Mar-Apr;110(2):34-5.
Rectal suction biopsy is the first step in evaluating suspected Hirschsprung's disease before a full thickness rectal biopsy is planned. It has an excellent safety profile and generally good yield. However, there have been rare reports of serious complications with this procedure and at least one death, mostly in the neonatal period and under one year of age, at the time of diagnosis. We report a case of a 2 year old child with suspected Hirschsprung's disease who underwent rectal suction biopsy and developed delayed bleeding requiring a blood transfusion. To the best of our knowledge, this is the first report of an older child, greater than one year of age, developing this serious complication at the time of rectal suction biopsy. Discussion of the technique as well as the patient's presentation and his outcome are provided. Pediatric gastroenterologists and pediatric surgeons performing rectal suction biopsy may need to be aware of this risk even with older children.
在计划进行全层直肠活检之前，直肠吸引活检是评估疑似先天性巨结肠症的第一步。它具有良好的安全性，通常取材成功率也较高。然而，已有罕见报道称该操作会出现严重并发症，甚至至少有一例死亡，大多发生在新生儿期及一岁以下诊断时。我们报告一例2岁疑似先天性巨结肠症患儿，其接受直肠吸引活检后出现延迟性出血，需要输血。据我们所知，这是首例一岁以上较大儿童在直肠吸引活检时发生这种严重并发症的报告。文中还提供了对该技术以及患儿表现和预后的讨论。进行直肠吸引活检的儿科胃肠病学家和儿科外科医生即使面对较大儿童也可能需要意识到这种风险。
