Journal List > Korean J Pediatr Gastroenterol Nutr > v.14(4) > 1043526

Lee, Shin, Chang, and Kim: Endoscopic Hemoclipping Treatment for Gastric Dieulafoy Lesion in a Newborn

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.

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Fig. 1.
Endoscopic finding shows refluxed fresh blood in the lower esophagus with position change.
kjpgn-2011-14-4-393f1.tif
Fig. 2.
Second endoscopic exam reveals a clot covering, nonbleeding, protruding vessel with minute mucosal inflammation in the greater curvature of the lower body.
kjpgn-2011-14-4-393f2.tif
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).
kjpgn-2011-14-4-393f3.tif
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