探索性腹腔镜检查联合病理检查在儿童不明原因胃肠道出血中的诊断价值：病例报告。
Exploratory laparoscopy combined with pathological examination in the diagnosis of obscure gastrointestinal bleeding in a child: a case report.
机构信息
Department of Respiratory Medicine, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, No.1678 Dongfang Road, Pudong, 200127, Shanghai, China.
Department of Gastroenterology, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, No.1678 Dongfang Road, Pudong, 200127, Shanghai, China.
出版信息
BMC Pediatr. 2018 Nov 27;18(1):371. doi: 10.1186/s12887-018-1339-9.
BACKGROUND
The diagnosis of obscure gastrointestinal bleeding (OGIB) which is defined as bleeding of unknown origin of the small bowel by routine evaluation in childhood is a challenge.
CASE PRESENTATION
Here we report a one-year-old Chinese girl who was suspected with idiopathic pulmonary haemosiderosis (IPH) and referred to our department for further diagnosis. Finally she was diagnosed with vascular malformations (VM) by exploratory laparoscopy combined with pathological examination.
CONCLUSIONS
Children OGIB could be easily misdiagnosed in the beginning, and OGIB children with active ongoing bleeding may benefit from proceeding directly to exploratory laparoscopy, followed by pathological confirmation of the diagnosis.
背景
在儿童中，通过常规评估定义为小肠不明来源出血的不明原因胃肠道出血（OGIB）的诊断具有挑战性。
病例介绍
在这里，我们报告了一例 1 岁的中国女孩，她被怀疑患有特发性肺含铁血黄素沉着症（IPH），并转至我院进一步诊断。最终，她通过腹腔镜探查术联合病理检查被诊断为血管畸形（VM）。
结论
儿童 OGIB 起初可能很容易被误诊，并且有活动性持续出血的 OGIB 儿童可能受益于直接进行腹腔镜探查术，然后通过病理确认诊断。
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