|
KMID : 0816119990020010080
|
|
Korean Journal of Pediatric Gastroenterolology and Nutrition
1999 Volume.2 No. 1 p.80 ~ p.84
|
|
|
A Case of Dieulafoy’s Disease in a Child
|
|
Lee Eui-Sung
Han Seok-Joo
Chung Ki-Sup
Oh Chang-Hee
Kim Je-woo
|
|
|
Abstract
|
|
|
Dieulafoy’s disease, a vascular anomaly mainly in the upper stomach, is a rare but
potentially life-threatening cause of upper gastrointestinal bleeding. Pathogenesis is still
controversial, but the most accepted theory is that a persistent caliber vessel in the
submucosa is exposed by a small mucosal erosion leading to massive bleeding. The
bleeding site is usually within 6 ㎝ of the esophagogastric junction in the cardia or
fundus of the stomach. The treatment of choice is therapeutic endoscopy or surgery.
The age of patients reported is mainly between 50 and 70 years, and patients of
pediatric age are extremely rare.
We are reporting a 5-year-old male patient who had Dieulafoy’s disease which was
diagnosed by emergency upper gastrointestinal endoscopy. Endoscopic finding was a
nodular lesion with an adherent clot on the lessor curvature of the stomach 2 ㎝ below
the esophagogastric junction. Epinephrine and BeriplastR was injected in
the lesion. On the second day after endoscopic sclerotherapy, the patient had recurred
massive hematemesis and accompanying shock. So we performed gastrotomy and
ligation. After the operation, he showed an improved general condition and was
discharged at the 12th hospital day.
|
|
|
KEYWORD
|
|
|
Dieulafoy’s disease, Upper gastrointestinal bleeding, Endoscopy, Child,
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|