Three Year Old Male with Multiple Dieulafoy Lesions Treated with Epinephrine Injections via Therapeutic Endoscopy / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 276-280, 2016.
Article
in English
| WPRIM
| ID: wpr-190323
ABSTRACT
Dieulafoy lesions, vascular anomalies typically found along the gastrointestinal tract, have been viewed as rare and obscure causes of sudden intestinal bleeding, especially in pediatric patients. Since their discovery in the late 19th century, the reported incidence has increased. This is due to an increased awareness of, and knowledge about, their presentation and to advanced endoscopic diagnosis and therapy. Our patient was a three-year-old male, without a complex medical history. He presented to the emergency department with acute hematemesis with blood clots and acute anemia requiring blood transfusion. Endoscopy revealed four isolated Dieulafoy lesions along the lesser curvature of the stomach, which were treated with an epinephrine injection. The Dieulafoy lesion, although thought to be rare, should be considered when investigating an acute gastrointestinal bleed. These lesions have been successfully treated endoscopically. Appropriate anticipation and preparation for diagnosis and therapy can lead to optimal outcomes for the pediatric patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach
/
Blood Transfusion
/
Epinephrine
/
Hematemesis
/
Melena
/
Incidence
/
Gastrointestinal Tract
/
Diagnosis
/
Emergency Service, Hospital
/
Endoscopy
Type of study:
Diagnostic study
/
Incidence study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Pediatric Gastroenterology, Hepatology & Nutrition
Year:
2016
Type:
Article
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