All issues > Volume 53(1); 2010

Case Report

Korean J Pediatr. 2010;53(1):89-92. Published online January 15, 2010.

Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature

Kyung Ji KJ Kang¹, Eun Ha EH Kim¹, Eun Young EY Jung³, Woo-Hyun WH Park³, Yu-Na YN Kang², Ae Suk AS Kim⁴, Jin-Bok JB Hwang²

¹Departments of Pediatrics, Keimyung University School of Medicine, Daegu, Korea
²Departments of Pathology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
³Departments of Pediatric Surgery, Keimyung University School of Medicine, Daegu, Korea
⁴Department of Pediatrics, Dongguk University College of Medicine, Gyeongju, Korea

Correspondence Jin-Bok JB Hwang ,Tel: +82.53-250-7331, Fax: 82.53-250-7783, Email: pedgi@kmu.ac.kr

Abstract

Perianastomotic ulceration (PAU) rarely occurs after small bowel resection in infancy. Since the understanding of its pathogenesis is incomplete, an effective method of treatment has not yet been discovered. We report the first case in Korea of a 10-year-old girl with chronic iron deficiency anemia (IDA) and growth failure who was diagnosed with PAU at colonoscopy. Seven years were required to identify the cause of IDA. After surgical resection and revision of anastomosis, a close follow-up is being conducted due to the risk of recurrence. Here, we also review reports on 25 pediatric patients with PAU derived from a search of the English-language literature and describe the clinical features of PAU along with the results of treatment.

Keywords :Perianastomotic ulceration, Iron deficiency anemia, Growth failure, Colonoscopy