Abstract:
The problem of the digestive haemorrhage in children’s faeces is serious and complicated in respect of diagnostic
search. Digestive haemorrhage it is considered arare couse of bleeding, compared to those of the gastro - intestinal. In
case of haemorrhage located in the small intestine, exact location of the lesion is often very difficult, both clinically and
endoscopically, which implies the need for additional investi gations.
Material and methods. This work contains a retrospective analysis of five patients operated in the last two years.
The cases presented here were care fully selected of a total of twentieth patients with inferior digestive haemorrhage
treated in our clinic in the last fiwe years, in eleven of them was identifyied a small bowel pathology.
In all cases, the intraoperative diagnosis revealed an atypical cause of digestive haemorrhage.
Surgical treatment can be characterized as such:
• revision of abdominal cavity, diagnostic enterotomy -1 case
• segmental enterectomy – 4 cases
Discussions. A rare cause of acute lower digestive haemorrhage to the children is tumore Gist rupture.
Child’s surgeon face the problem of the early diagnostics of a digestive haemorrhage and of the determination of an
optimal volume of laboratory and instrumental methods of examination of a child. Most patients with inferior digestive
haemorrhage require complete digestive tract endoscopic exploration. Endoscopic exploration of the small bowel is very
difficult to perform, and the digestive haemorrhade lacated in small bowel requires emergency operation.
Conclusions:
Digestive haemorrhages localized in the small intestine presents difficulties clinical and endoscopic diagnostic and is a
current surgical problem.
The best technique to solve is segmental enterectomy with entero- entero anastamosis.
