A Case of Dieulafoy's Lesion in Duodenal Bulb / 소아과
Korean Journal of Pediatrics
;
: 343-346, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-27358
ABSTRACT
Dieulafoy's lesion is an uncommon cause of recurrent massive gastrointestinal bleeding resulting from an abnormally large submucosal artery that protrudes through a small mucosal defect. Incidence of Dieulafoy's lesion as a source of upper gastrointestinal bleeding ranges from 0.3 to 6.7% in adults. But recently, the incidence is on an increasing trend by advanced endoscopic diagnostic technique. Lesions may occur anywhere in the gastrointestinal tract but are typically located within 6 to 10 cm of the gastroesophageal junction, generally along the lesser curvature of the stomach. Lesions are life threatening because bleeding is often massive and recurrent. The mean age of presentation is in the fifth decade and patients of pediatric age are extremely rare. We report a 12-year-old male patient who had Dieulafoy's lesion, diagnosed by emergency gastrointestinal endoscopy. Endoscopic finding was active bleeding from Dieulafoy's lesion in the duodenal second portion. Bleeding was controlled with endoscopic hemoclipping without complication or recurrence.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Recidiva
/
Estômago
/
Incidência
/
Endoscopia Gastrointestinal
/
Trato Gastrointestinal
/
Duodeno
/
Emergências
/
Junção Esofagogástrica
/
Hemorragia
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Adulto
/
Criança
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Pediatrics
Ano de publicação:
2004
Tipo de documento:
Artigo
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