Pediatric Gastroenterology, Hepatology & Nutrition
- Volume 2 Issue 1
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- Pages.80-84
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- 1999
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
A Case of Dieulafoy's Disease in a Child
소아의 Dieulafoy병 치험 1례
- Lee, Eui-Sung (Department of Pediatrics, College of Medicine, Yonsei University) ;
- Oh, Chang-Hee (Department of Pediatrics, College of Medicine, Yonsei University) ;
- Kim, Je-Woo (Department of Pediatrics, College of Medicine, Yonsei University) ;
- Chung, Ki-Sup (Department of Pediatrics, College of Medicine, Yonsei University) ;
- Han, Suk-Joo (Department of General Surgery, College of Medicine, Yonsei University)
- Received : 1998.08.04
- Accepted : 1998.09.08
- Published : 1999.03.30
Abstract
Dieulafoy's disease, a vascular anomaly mainly in the upper stomach, is a rare but potentially life-threatening cause of upper gastrointestinal bleeding. Pathogenesis is still controversial, but the most accepted theory is that a persistent caliber vessel in the submucosa is exposed by a small mucosal erosion leading to massive bleeding. The bleeding site is usually within 6 cm of the esophagogastric junction in the cardia or fundus of the stomach. The treatment of choice is therapeutic endoscopy or surgery. The age of patients reported is mainly between 50 and 70 years, and patients of pediatric age are extremely rare. We are reporting a 5-year-old male patient who had Dieulafoy's disease which was diagnosed by emergency upper gastrointestinal endoscopy. Endoscopic finding was a nodular lesion with an adherent clot on the lessor curvature of the stomach 2 cm below the esophagogastric junction. Epinephrine and