Successfully performed video capsule endoscopy in an 8-month-old infant weighing 7.5 kg.

Video capsule endoscopy (VCE) is a well-established diagnostic tool for examining the small bowel. Limited data exist on its use in infants. To our knowledge, we present the first detailed case of a successful PillCam®SB3-VCE performed in an 8-month-old infant weighing 7.5 kg with suspected small bowel bleeding following allogeneic hematopoietic stem cell transplantation. The capsule was endoscopically placed into the duodenum without prior bowel cleansing or patency capsule testing. VCE identified bleeding in the terminal ileum and cecum. This case demonstrates that VCE can be safely performed even in very young, low-weight infants when clinically necessary. However, due to anatomical and physiological challenges, VCE should be carefully considered in infants and applied cautiously on a case-by-case basis.