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Byline: S. Singh, R. Gupta, A. Mandal
Sir,
We recently came across a rare, interesting but important cause of lower gastrointestinal (GI) bleeding in a pediatric patient.
A seven-year-old boy presented with history of passage of blood in stools for the last two years. There was no history of abdominal pain or mass, altered bowel habits or epistaxis. He was referred from a private hospital to us for management.
Physical examination was normal except for moderate pallor. Laboratory investigations revealed hemoglobin of 7.2 g/dl. The platelet count was normal and no bleeding diathesis was found. Colonoscopy showed nonspecific vascular alterations like dilated, congested vessels in the descending and …