Journal List > Korean J Pediatr Gastroenterol Nutr > v.6(2) > 1110375

Korean J Pediatr Gastroenterol Nutr. 2003 Sep;6(2):183-186. Korean.
Published online Sep 30, 2003.
Copyright © 2003 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Prolapse Gastropathy Presenting with Hematemesis in a 3-year-old Child: A Case Report
Jin Seong Cho, Eell Ryoo,* Gun Lee and Jae Kwang Kim
Department of Emergency Medicine, Ghil Medical Center, Gachon Medical School, Incheon, Korea.
*Department of Pediatrics, Ghil Medical Center, Gachon Medical School, Incheon, Korea.

Prolapse gastropathy is not uncommon in adult, but is not reported yet in previously healthy children. A 3-year-old child came to our emergency room after a 1-day history of emesis episodes with coffee-ground hematemesis. During the endoscopic procedure, and the process of retching and vomiting was observed and a tense knuckle of gastric mucosa was seen to be forcefully and repeated prolapsed into the distal esophageal mucosa, and mucosal hematoma was found in the gastric fundus. Upper gastrointestinal study revealed no abnormality and 24 hour pH monitoring revealed no pathologic gastroesophageal reflux. Retching is thought to cause the forceful prolapse and induce subsequent trauma of gastric mucosa. This case illustrates that the episodes of vigorous retching and resultant gastric mucosa are now considered to be the cause of the hematemesis and epigastric pain in children.

Keywords: Hematemesis; Prolapse; Gastropathy