Gastric duplication-colonic fistula with colonic ulceration and bleeding |
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Authors: | V Mahnovski GH Mahour JM Rowland |
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Affiliation: | Division of Anatomic Pathology, Childrens Hospital Los Angeles, CA 90027, USA. |
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Abstract: | An 11-month-old girl had massive rectal bleeding. A midabdominal mass was palpated. Ultrasound scan showed a large cystic mass with diffusely echogenic contents; Tc-99M radionuclide scan confirmed a duplication. Exploratory surgery and pathology examination showed a gastric duplication with formation of a fistula into the transverse colon with a colonic ulcer and hemorrhage. This combination of findings is presented as a rare cause of lower gastrointestinal hemorrhage in infancy. |
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