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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
"neonatal period"
symptom
alexander disease
alpha-thalassemia
benign recurrent intrahepatic cholestasis
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cutaneous mastocytosis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
harlequin ichthyosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pyruvate dehydrogenase deficiency
zellweger syndrome
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