Despite intensive investigations as to the etiology of massive bleeding from the digestive tract, a considerable number of cases remain undiagnosed.Even after laparotomy, a definitive diagnosis is not made in approximately 15% of individuals.1,2 Although the outlook is usually good in such instances,2 the literature gives no further diagnostic clues in identifying those subjects whose bleeding is self-limited.The purpose of this communication is to describe 3 patients whose course might give some guidance as to future management of similar situations. These individuals all manifested the following clinical findings.
The 3 children who were affected in this manner are siblings from a family with
Onset of repeated episodes of massive bleeding from the digestive tract in the first year of life;
A family history of gastrointestinal bleeding;
Spontaneous cessation of bleeding by the age of 2 years;
Absence of integumentary and vascular abnormalities in other parts of the body.