Maggio 2009 - Volume XXVIII - numero 5

Medico e Bambino


Pagine elettroniche ; Caso Contributivo

Sanguinamento intestinale cronico occulto in una ragazza di 14 anni. Diagnosi di linfangioma cavernoso dell’intestino tenue con videocapsula endoscopica

Silvia Bevilacqua, Martina Mainetti, Marta Vestri, Alessandra Montemaggi, Tatsiana Slabadzianiuk, Paolo Lionetti

Dipartimento di Pediatria, Ospedale Meyer, Università di Firenze

Indirizzo per corrispondenza: paolo.lionetti@unifi.it

CHRONIC OCCULT GUT BLEEDING IN A 14-YEAR-OLD GIRL. DIAGNOSIS OF SMALL INTESTINE LYMPHANGIOMA BY CAPSULE ENDOSCOPY

Key words: Occult gut bleeding, Small intestine lymphangioma, Capsule endoscopy

Occult lower gastrointestinal bleeding may be due to numerous conditions: a rare cause is small intestinal lymphangioma. The Authors describe a case of a 14 year-old girl who presented with severe anaemia, no abdominal pain and no rectal bleeding. She had a five-year history of irondeficient anaemia of unknown origin that required periodic blood transfusions. She underwent extensive workup including upper gastrointestinal endoscopy, ileo-colonscopy, abdomen TC, and ultrasound scan and their results were all negative. Small bowel capsule endoscopy was eventually performed and it disclosed the presence of a bleeding small bowel lymphangioma. The lesion was excised with laparoscopic surgery. Capsule endoscopy should be considered as the first-line investigation for obscure-occult small bowel bleeding.

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S. Bevilacqua, M. Mainetti, M. Vestri, A. Montemaggi, T. Slabadzianiuk, P. Lionetti Sanguinamento intestinale cronico occulto in una ragazza di 14 anni. Diagnosi di linfangioma cavernoso dell’intestino tenue con videocapsula endoscopica. Medico e Bambino 2009;28(5):327 https://www.medicoebambino.com/?id=0905_327.pdf

Pagine elettroniche ; Caso Contributivo

Un bambino con noduli tiroidei

Laura Nanni, Tatsiana Slabadzianiuk, Maria Cristina Manoni, Salvatore Seminara

Dipartimento di Pediatria, Ospedale Meyer, Università di Firenze

Indirizzo per corrispondenza: seminara@unifi.it

A CHILD WITH THYROID NODULES

Key words: Thyroid nodule, Malignancy, Fine-needle aspiration biopsy, Child

We report a case of a 8-year-old boy with a palpable mass on the anterior part of the neck. The thyroid nodules present a high risk of malignancy in pediatric patients. The child was admitted to our clinic for clinical analyses and instrumental investigation. Clinical examination of the neck focused on the thyroid nodules and gland itself. Biochemical assessment was not pathologic. Ultrasonography showed dyshormonogenesis and nodules on the left and right lobes and on the apex. The fine needle aspiration biopsy (FNAB) established benign nature of the nodule. The patient was treated with levotyroxine and needed simple annual followup to detect changes in the nodule size and thyroid function.

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L. Nanni, T. Slabadzianiuk, M.C. Manoni, S. Seminara Un bambino con noduli tiroidei. Medico e Bambino 2009;28(5):327 https://www.medicoebambino.com/?id=0905_327.pdf


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