TY - JOUR
T1 - Massive bleeding after rectal suction biopsy
T2 - Uncommon and unexpected delayed onset
AU - Pini-Prato, Alessio
AU - Carlini, Claudio
AU - Pesce, Ferdinando
AU - Jasonni, Vincenzo
AU - Seymandi, Pierluigi
PY - 2011/2
Y1 - 2011/2
N2 - Background: Rectal suction biopsy is a safe and painless procedure commonly performed in pediatric surgical practice for the diagnosis of intestinal dysganglionosis. Methods: We report a 3.5-year-old boy who experienced massive delayed bleeding after a rectal suction biopsy. Detailed information regarding clinical features, onset, management, and outcome are provided. Results: Acute onset of massive bleeding occurred 4 days after a rectal suction biopsy was performed to rule out possible intestinal dysganglionosis. The complication was managed conservatively, but blood transfusion and hospitalization were required. No predisposing abnormalities were detected. Conclusions: Massive bleeding after rectal suction biopsy is a well-known life-threatening complication. Nonetheless, such a delayed bleeding (up to 4 days after a rectal suction biopsy) has never been reported before. Parents should be made aware of this possibility and surgeons should be aware of this complication which can be scarcely predicted based on patient's and familial history.
AB - Background: Rectal suction biopsy is a safe and painless procedure commonly performed in pediatric surgical practice for the diagnosis of intestinal dysganglionosis. Methods: We report a 3.5-year-old boy who experienced massive delayed bleeding after a rectal suction biopsy. Detailed information regarding clinical features, onset, management, and outcome are provided. Results: Acute onset of massive bleeding occurred 4 days after a rectal suction biopsy was performed to rule out possible intestinal dysganglionosis. The complication was managed conservatively, but blood transfusion and hospitalization were required. No predisposing abnormalities were detected. Conclusions: Massive bleeding after rectal suction biopsy is a well-known life-threatening complication. Nonetheless, such a delayed bleeding (up to 4 days after a rectal suction biopsy) has never been reported before. Parents should be made aware of this possibility and surgeons should be aware of this complication which can be scarcely predicted based on patient's and familial history.
KW - complications
KW - diagnosis
KW - Hirschsprung
KW - intestinal dysganglionosis
KW - rectal suction biopsy
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U2 - 10.1007/s12519-011-0251-2
DO - 10.1007/s12519-011-0251-2
M3 - Article
C2 - 21191782
AN - SCOPUS:79251590553
VL - 7
SP - 83
EP - 85
JO - World Journal of Pediatrics
JF - World Journal of Pediatrics
SN - 1708-8569
IS - 1
ER -