Abstract. Celiac disease (CD) is an autoimmune disease with estimated prevalence of 1% in European and
We performed a retrospective analysis of all records of children with ingested foreign bodies presented to Clinical Center of Niš Pediatric Clinic and Pediatric Surgery and Orthopedics Clinic in the period from January 2014 to June 2017. The most commonly detected foreign bodies were: metal coins (7) followed by hairclips (2), metal key (1), trichobezoar (1) magnets (1) button battery (1) and zipper puller (1). Regarding anatomical location, foreign bodies were most frequently found in stomach (in 11 patients) followed by esophagus (in 2 patients) and jejunum (in 1 patient). In the majority of our patients (7) foreign bodies passed out of gastrointestinal tract spontaneously. Endoscopic foreign body removal was performed in 5 cases while surgery as a sole therapeutic action was done in 1 patient. In one child multiple magnets were removed from the stomach performing both endoscopic and surgical interventions. Teamwork of a gastroenterologist and a surgeon is crucial for optimizing therapeutic options for each individual patient. Public awareness of this problem and education of parents should be increased to a higher level in order to prevent cases of foreign bodies ingestion in children.
This article describes a 16-year-old girl with signs of malnutrition, rectal bleeding, hypoalbuminemia and anemia. At the age of 6 months she was operated on for hepatoblastoma. Last two years she has been followed by endocrinologist because of amenorrhea. Her family history was unremarkable. Esophagogastroduodenoscopy revealed multiple small gastric polyps. Colonoscopy showed a few polyps in rectum and hundreds of them (3-25 mm in diameter) in sigmoid and descending colon. Giant colonic polyps at splenic flexure region prevented further passage of the scope. The diagnosis of FAP was established based on the endoscopy and pathology of colonic polyps removed by snare polypectomy. Extraintestinal manifestations of FAP have not been detected. The patient underwent prophylactic surgery (restorative proctocolectomy). The post-operative course was uneventful. In our knowledge, this is the first report of giant colonic polyps in a pediatric patient suffering from FAP. This clinical syndrome can be presented not only with different genetic backgrounds and diverse clinical pictures but also with intriguing endoscopic findings.
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