GASTROINTESTINAL bleeding is a fairly frequent occurrence in children, and parental concern produces prompt referral to the physician. As the causes of gastrointestinal bleeding in children differ from those in adults, the diagnostic approach to the problem must be oriented specifically toward pediatric ailments. In this communication, the causes of gastrointestinal bleeding in various pediatric age groups are discussed, and a radiologic approach to the child with intestinal blood loss is suggested.
Gastrointestinal bleeding in the neonate is usually a benign disorder, although considerable blood loss may result. In the usual case, hematemesis or hematochezia or both, without other symptoms, occur in a previously healthy infant at about 2 days of age. In a study of 98 neonates with gastrointestinal bleeding, Sherman and Clatworthy1 noted the following causes for this condition: (1) swallowed maternal blood, (2) anorectal trauma, (3) hemorrhagic disease of the newborn, (4) colitis, (5)
Franken EA. Gastrointestinal Bleeding in Infants and Children: Radiologic Investigation. JAMA. 1974;229(10):1339–1340. doi:10.1001/jama.1974.03230480055034
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: