Severe gastrointestinal haemorrhage from an eroding jejuno-jejunal fistula

Severe gastrointestinal haemorrhage from an eroding jejuno-jejunal fistula

Blog Article

Children with complex needs often have limited communication which makes clinical assessment extremely difficult.They also require complex feeding regimes and are prone to doorking 1835-080 chronic bowel dysfunction and dysmotility requiring frequent admissions to hospital.We present the case of an 11-year old boy with mosaic trisomy 13 and an end ileostomy (for gut dysmotility) who presented with a catastrophic gastrointestinal haemorrhage during a prolonged Paediatric Intensive Care (PICU) stay recovering from an episode of presumed sepsis.A normal upper GI endoscopy was followed by a laparoscopy which revealed a small bowel adhesion to the anterior abdominal wall which had facilitated the creation of a jejuno-jejunal fistula that had eroded through a mesenteric artery.

The child recovered well after a limited laparotomy and segmental small bowel resection.This case highlights an wild pony rebajas extremely unusual cause of gastrointestinal bleeding in a child and emphasises the role of Laparoscopy in the comprehensive assessment of this presentation.Keywords: Laparoscopy, Gastrointestinal bleeding, Endoscopy.