Journal List > Korean J Pediatr Gastroenterol Nutr > v.10(2) > 1110214

Korean J Pediatr Gastroenterol Nutr. 2007 Sep;10(2):193-196. Korean.
Published online Sep 30, 2007.  https://doi.org/10.5223/kjpgn.2007.10.2.193
Copyright © 2007 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of a Dieulafoy Lesion Treated using Coil Embolization in a Child
Ji Mi Jung, Min Seob Song, Geun Ha Chi, Jae Ik Bae,* and Ao Whan Park*
Department of Pediatrics, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
*Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
Abstract

A dieulafoy lesion, which is an unusual cause of gastrointestinal bleeding that can be fatal in children. Dieulafoy lesions are characterized by an abnormally large eroded submucosal artery that is commonly located in the lesser curvature of the proximal stomach. In most cases, permanent hemostasis is achieved by endoscopic epinephrine injection, however, some patients require other endoscopic treatment modalities, embolization or surgery. We report here a case of a Dieulafoy lesion in an 11-year-old boy who had recurrent bleeding from the lesion in the duodenal bulb after endoscopic epinephrine injection and surgical ligation, that was successfully treated using coil embolization.

Keywords: Dieulafoy lesion; Coil embolization