Korean J Pediatr Gastroenterol Nutr.  2011 Dec;14(4):393-397. 10.5223/kjpgn.2011.14.4.393.

Endoscopic Hemoclipping Treatment for Gastric Dieulafoy Lesion in a Newborn

Affiliations
  • 1Department of Pediatrics, Chungnam University College of Medicine, Daejeon, Korea. pedkim@cnuh.co.kr

Abstract

Dieulafoy's lesion is defined as a small mucosal defect overlying an abnormal, large caliber submucosal artery that protrudes through the gastrointestinal mucosa. This lesion is a rare cause of massive upper gastrointestinal bleeding in the pediatric population and extremely rare in neonates. We report a 1-day-old neonate who presented with massive gastrointestinal bleeding caused by a gastric Dieulafoy lesion, which was successfully treated by endoscopic hemoclipping without any complications.

Keyword

Dieulafoy lesion; Endoscopic hemoclipping; Newborn

MeSH Terms

Arteries
Hemorrhage
Humans
Infant, Newborn
Mucous Membrane

Figure

  • Fig. 1. Endoscopic finding shows refluxed fresh blood in the lower esophagus with position change.

  • Fig. 2. Second endoscopic exam reveals a clot covering, nonbleeding, protruding vessel with minute mucosal inflammation in the greater curvature of the lower body.

  • Fig. 3. Endoscopic view of Dieulafoy's lesion showing endoscopic hemoclipping (A). Follow-up endoscopic finding shows no visible vessel and a proper attached hemoclip on the gastric Dieulafoy lesion (B).


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