Maggio 2009 - Volume XXVIII - numero 5
Pagine elettroniche ; Caso Contributivo
Dipartimento di Pediatria, Ospedale Meyer, Università di Firenze
Indirizzo per corrispondenza: paolo.lionetti@unifi.it
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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Pagine elettroniche ; Caso Contributivo
Dipartimento di Pediatria, Ospedale Meyer, Università di Firenze
Indirizzo per corrispondenza: seminara@unifi.it
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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