Open Access, Peer-reviewed
pISSN 2234-8646
eISSN 2234-8840
    Korean J Pediatr Gastroenterol Nutr. 2011 Dec;14(4):393-397. Korean.
    Published online Dec 31, 2011.
    https://doi.org/10.5223/kjpgn.2011.14.4.393
    Copyright © 2011 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
    Case Report

    Endoscopic Hemoclipping Treatment for Gastric Dieulafoy Lesion in a Newborn

    Yong Wok Lee, M.D., Ji Hye Shin, M.D., Mea Young Chang, M.D. and Jae Young Kim, M.D.
      • Department of Pediatrics, Chungnam University College of Medicine, Daejeon, Korea.
    • Corresponding author: Tel: 042-280-7249, Fax: 042-255-3158, (Email: pedkim@cnuh.co.kr )
    Received September 28, 2011; Revised October 26, 2011; Accepted October 28, 2011.

    Abstract

    Dieulafoy's lesion is defined as a small mucosal defect overlying an abnormal, large caliber submucosal artery that protrudes through the gastrointestinal mucosa. This lesion is a rare cause of massive upper gastrointestinal bleeding in the pediatric population and extremely rare in neonates. We report a 1-day-old neonate who presented with massive gastrointestinal bleeding caused by a gastric Dieulafoy lesion, which was successfully treated by endoscopic hemoclipping without any complications.

    Keywords
    Dieulafoy lesion; Endoscopic hemoclipping; Newborn

    Figures

    Fig. 1
    Endoscopic finding shows refluxed fresh blood in the lower esophagus with position change.

    Fig. 2
    Second endoscopic exam reveals a clot covering, nonbleeding, protruding vessel with minute mucosal inflammation in the greater curvature of the lower body.

    Fig. 3
    Endoscopic view of Dieulafoy's lesion showing endoscopic hemoclipping (A). Follow-up endoscopic finding shows no visible vessel and a proper attached hemoclip on the gastric Dieulafoy lesion (B).

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    MeSH Terms
    Arteries
    Hemorrhage
    Humans
    Infant, Newborn
    Mucous Membrane
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