Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Prolapse Gastropathy Presenting with Hematemesis in a 3-year-old Child - A Case Report

3세 소아에서 토혈을 주소로 내원한 위식도 탈출증 1례

  • Cho, Jin-Seong (Department of Emergency Medicine, Ghil Medical Center, Gachon Medical School) ;
  • Ryoo, Eell (Department of Pediatrics, Ghil Medical Center, Gachon Medical School) ;
  • Lee, Gun (Department of Emergency Medicine, Ghil Medical Center, Gachon Medical School) ;
  • Kim, Jae-Kwang (Department of Emergency Medicine, Ghil Medical Center, Gachon Medical School)
  • 조진성 (가천의과대학교 길병원 응급의학과) ;
  • 류일 (가천의과대학교 길병원 소아과) ;
  • 이근 (가천의과대학교 길병원 응급의학과) ;
  • 김재광 (가천의과대학교 길병원 응급의학과)
  • Received : 2003.09.05
  • Accepted : 2003.09.15
  • Published : 2003.09.30
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Abstract

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.

저자들은 반복적인 구토와 복통이 발생한 후 토혈을 주소로 내원한 3세 된 남아에서 상부소화관 내시경으로 진단된 위식도 탈출증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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