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Serious rectal bleeding complicating suction rectal biopsy in a child.
[hirschsprung disease]
Rectal
suction
biopsy
is
the
first
step
in
evaluating
suspected
Hirschsprung
's
disease
before
a
full
thickness
rectal
biopsy
is
planned
.
It
has
an
excellent
safety
profile
and
generally
good
yield
.
However
,
there
have
been
rare
reports
of
serious
complications
with
this
procedure
and
at
least
one
death
,
mostly
in
the
neonatal
period
and
under
one
year
of
age
,
at
the
time
of
diagnosis
.
We
report
a
case
of
a
2
year
old
child
with
suspected
Hirschsprung
's
disease
who
underwent
rectal
suction
biopsy
and
developed
delayed
bleeding
requiring
a
blood
transfusion
.
To
the
best
of
our
knowledge
,
this
is
the
first
report
of
an
older
child
,
greater
than
one
year
of
age
,
developing
this
serious
complication
at
the
time
of
rectal
suction
biopsy
.
Discussion
of
the
technique
as
well
as
the
patient
's
presentation
and
his
outcome
are
provided
.
Pediatric
gastroenterologists
and
pediatric
surgeons
performing
rectal
suction
biopsy
may
need
to
be
aware
of
this
risk
even
with
older
children
.
Diseases
Validation
Diseases presenting
"at least one death"
symptom
hirschsprung disease
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