Rectal Bleeding in Infants: Diagnostic Work-up and Management

Author:

Quitadamo Paolo1,Isoldi Sara12,Mallardo Saverio2,Zenzeri Letizia3,Ceccanti Silvia4,Battagliere Ilaria5,Del Bene Margherita5,Di Nardo Giovanni6

Affiliation:

1. Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children’s Hospital, Naples, Italy

2. Maternal and Child Health Department, Sapienza - University of Rome, Santa Maria Goretti Hospital, Polo Pontino, Latina, Italy

3. Pediatric Emergency Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy

4. Pediatric Surgery Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy

5. Department of Translational Medical Science, Section of Pediatrics, University "Federico II", Naples, Italy

6. Chair of Pediatrics, Pediatric Gastroenterology and Endoscopy Unit, NESMOS Department, Faculty School of Medicine and Psychology, Sapienza University of Rome, Sant’Andrea University Hospital, Rome, Italy

Abstract

Abstract: Lower gastrointestinal bleeding is an alarming symptom in pediatrics, especially in in- fancy. However, it is commonly secondary to benign and self-limiting conditions, such as anal fis- sures, infections, and allergies; more rarely it is caused by more serious disorders, such as necrotiz- ing enterocolitis, very early onset inflammatory bowel diseases, and vascular malformations. The present review aims at summarizing the different clinical conditions presenting with rectal bleeding in infancy and provides an evidence-based diagnostic work-up for the clinical management of patients with this occurrence.

Publisher

Bentham Science Publishers Ltd.

Subject

Pediatrics, Perinatology and Child Health

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