Nhân 1 trường hợp thiếu máu thiếu sắt kéo dài do viêm túi thừa Meckel tại Bệnh viện Đa khoa Tâm Anh=A case report of chronic-iron deficiency anemia due to Meckel’s diverticulum at Tam Anh General Hospital

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Tác giả: Bội Hy Lâm, Đỗ Trọng Nguyễn, Huy Trụ Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.261-266

Bộ sưu tập: Metadata

ID: 243850

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A 7 year-old boy, who had history of iron-refractory anemia without any history of gastrointestinal (GI) bleeding, came to emergency department with pale, hematochezia. His Hb at admission was 4.4 g/dl, Hct 14%. He was screen for the causes of GI bleeding such as: gastroduodenal endoscopy and abdominal CT scan. The results were no peptic ulcer, and Meckel’s diverticulum found in abdominal CT scan. He was taken laparoscopic abdominal surgery and removed the intestine with Meckel’s diverticulum. Followed up 1 month after discharge, the child's skin and mucous membranes were pink, Hb improved. Conclusions: It is necessary to screen for causes of chronic-iron deficiency anemia, in which gastrointestinal causes are easily overlooked. Meckel’s diverticulum is one of the causes of chronic-iron deficiency anemia in children. It can be silent or symptomatic with gastrointestinal bleeding at any age.Bé trai 7 tuổi, tiền căn thiếu máu thiếu sắt kéo dài 1 năm nay kém đáp ứng, đã từng truyền máu 1 lần, chưa ghi nhận xuất huyết tiêu hoá trước đây, nhập viện vì tiêu phân máu đỏ bầm, lượng vừa 1 lần/ngày. Hb lúc nhập viện 4,4 g/dl, Hct 14%. Bé được tầm soát nguyên nhân gây xuất huyết tiêu hoá như: nội soi dạ dày tá tràng, chụp CT scan bụng. Kết quả: không ghi nhận ổ loét dạ dày, tá tràng. CT scan: viêm túi thừa Meckel. Bé được phẫu thuật nội soi ổ bụng thám sát và cắt đoạn ruột có túi thừa Meckel’s viêm. Theo dõi sau xuất viện 1 tháng, da niêm bé hồng hào, Hb cải thiện. Kết luận: Cần tầm soát nguyên nhân thiếu máu thiếu sắt kéo dài, trong đó nguyên nhân từ đường tiêu hoá dễ bị bỏ sót. Viêm túi thừa Meckel là một trong những nguyên nhân gây thiếu máu thiếu sắt kéo dài ở trẻ em. Viêm túi thừa Meckel có thể không có triệu chứng hoặc biểu hiện xuất huyết tiêu hoá ở bất kì lứa tuổi nào.

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