Journal List > Korean J Pediatr Gastroenterol Nutr > v.6(2) > 1110376

Korean J Pediatr Gastroenterol Nutr. 2003 Sep;6(2):187-191. Korean.
Published online Sep 30, 2003.
Copyright © 2003 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Endoscopic Management with Ethanol Injection in a Child with Gastric Dieulafoy Lesion
Hyun Jin Kim, Jee Seon Shin and Jeong Wan Seo
Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea.

The Dieulafoy's lesion is a rare cause of recurrent massive gastrointestinal bleeding in children. The bleeding results from an abnormally large submucosal artery that protrudes through a small mucosal defect. The lesion is commonly found on proximal stomach. Surgical intervention was believed to be the best treatment in the past, but recent advancement in endoscopy has made effective hemostasis possible. We report a case of a 9-year-old boy with underlying mycoplasma pneumonia with effusion who presented with massive upper gastrointestinal bleeding. Bleeding was controlled with endoscopic treatment by epinephrine and ethanol injection and the patient was successfully treated.

Keywords: Dieulafoy's lesion; Massive gastric bleeding; Endoscopic treatment; Child