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Updated: May 29, 2026

Murine Endoscopy for In Vivo Multimodal Imaging of Carcinogenesis and Assessment of Intestinal Wound Healing and Inflammation
Published on: August 26, 2014
Midget submarine for diagnosing midgut lesions in children
Ward Vanagt1, Marc A De Bièvre, Anita M Van den Neucker
1Atrium Medical Center, Paediatrics, PO Box 4446, Heerlen, 6401 CX, The Netherlands.
Insights
Obscure gastrointestinal bleeding can cause severe anemia. Wireless capsule endoscopy successfully diagnosed a jejunal hemangioma in a young boy, highlighting its value in pediatric cases.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Endoscopy
Background:
- Obscure gastrointestinal (GI) bleeding presents a diagnostic challenge, particularly in severe anemia cases.
- Persistent anemia despite investigations necessitates advanced diagnostic tools.
Purpose of the Study:
- To describe the successful diagnosis of a jejunal hemangioma causing obscure GI blood loss.
- To evaluate the utility of wireless capsule endoscopy in pediatric patients with obscure GI bleeding.
Main Methods:
- Case report of a 2.5-year-old boy with recurrent anemia.
- Utilized wireless capsule endoscopy (WCE) for small bowel investigation.
- Considered double balloon enteroscopy (DBE) as a complementary technique.
Main Results:
- WCE identified a bleeding jejunal hemangioma as the source of blood loss.
- The patient's anemia was attributed to the identified vascular malformation.
- WCE and DBE demonstrated feasibility and value in diagnosing obscure GI bleeding in children.
Conclusions:
- Wireless capsule endoscopy is effective for diagnosing obscure GI bleeding in pediatric patients.
- Advanced endoscopic techniques like WCE and DBE are crucial for managing complex pediatric GI cases.
- Early diagnosis of conditions like jejunal hemangioma can guide appropriate treatment and improve patient outcomes.
Abstract:
Anaemia due to obscure gastrointestinal blood loss remains a challenge to the clinician, especially when blood loss is severe enough to result in profound anaemia while further investigations fail to identify the cause of bleeding. A description of how wireless capsule endoscopy revealed a bleeding jejunal haemangioma in a 2.5-year-old boy with recurrent anaemia is given. New techniques such as wireless capsule endoscopy and double balloon enteroscopy are feasible and provide a valuable adjunct to the diagnostic investigation of children with obscure enteral blood loss.
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