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KMID : 0359020090390030166
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 3 p.166 ~ p.168
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A Case of Dieulafoy-like Lesion with Massive Bleeding at Ileocecal Valve Following Acute Infectious Colitis in a Pediatric Patient
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Soh Jae-Seung
Kim In-Hee
Kim Seong-Hun
Kim Sang-Wook
Lee Seong-Ok
Lee Soo-Teik
Kim Dae-Ghon
Lee Yoon-Jae
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Abstract
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The common causes of lower gastrointestinal bleeding in children are intussusception, rectal juvenile polyp, chronic inflammatory colitis and Meckel’s diverticulum. Bleeding from Dieulafoy’s ulcer at the lower gastrointestinal tract is rare, but this often occurs in the rectum. So far, there has been no report that a Dieulafoy lesion in the ileocecal valve might be formed after acute colitis in a pediatric patient. In this case report, a Dieulafoy-like lesion at the ileocecal valve caused lower gastrointestinal bleeding in an asymptomatic 14-year-old woman. A careful history taking and medical examination are mandatory to identify the bleeding focus in the GI tract and this can be treated by endoscopy.
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KEYWORD
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ower gastrointestinal bleeding, Dieulafoy-like lesion, Ileocecal valve, Children, Acute colitis
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