Minimal-invasive surgery for treatment of colo-rectal angiodysplasia in a child

Authors

  • A Eric Moreddu Department of Paediatric Surgery, Hospital La Timone, Marseilles
  • Alexandre Fabre Department of Paediatric Gastroenterology, Hospital La Timone, Marseilles
  • Julia Boubnova Department of Paediatric Surgery, Hospital La Timone, Marseilles
  • Frederic Lamy Department of Anaesthesia/Intensive care, Hospital La Timone, Marseilles
  • Jean-Michel Guys Department of Paediatric Surgery, Hospital La Timone, Marseilles
  • Pascal de Lagausi Department of Paediatric Surgery, Hospital La Timone, Marseilles

Keywords:

Colo-rectal, angiodysplasia, minimal-invasive surgery, venous malformations, laparoscopy, endorectal pull-through

Abstract

Introduction: Rectal angiodysplasia is a rare lesion of bowel wall in pediatric population.

Materials and Methods: We report the first laparoscopic management of a case of bifocal angiodysplasia in a child, involving the rectum and the left colonic flexure. The preoperative investigations showed only rectal lesions. A classic Swensons pull-through by laparoscopy was performed, with discovery of second lesion necessitating a resection of the left colonic flexure.

Result: At day 11, the child presented an occlusive syndrome and a partial disunion of the coloanal anastomosis, requiring a discharge transverse colostomy Two months after closure of the colostomy, the child regained 1 kg, had a normal transit (3 to 4 defecations per day) and normal haemoglobin results.

DOI: http://dx.doi.org/10.11593/bje.2013.0101.0001

Bangladesh Journal of Endosurgery Vol.1(1) January 2013: 13-15

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Published

2013-07-29

How to Cite

Moreddu, A. E., Fabre, A., Boubnova, J., Lamy, F., Guys, J.-M., & de Lagausi, P. (2013). Minimal-invasive surgery for treatment of colo-rectal angiodysplasia in a child. Bangladesh Journal of Endosurgery, 1(1), 13–15. Retrieved from https://www.banglajol.info/index.php/BJE/article/view/15926

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Section

Original Articles