Pitfalls

  • Children presenting to ED with LGIB are most likely to have a benign cause for their bleeding, but keep a high index of suspicion for the rarer more serious causes.
  • Always consider ‘pseudohaematochezia’8– discolouration of stool by ingested substances e.g. liquorice, beetroot.
  • Beware the button battery or “super strong” magnets9 – always take a thorough history and consider potential for foreign body ingestion.
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