Korean J Pediatr Gastroenterol Nutr.  2007 Sep;10(2):193-196.

A Case of a Dieulafoy Lesion Treated usingCoil Embolization in a Child

Affiliations
  • 1Department of Pediatrics, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea. msped@hanmail.net
  • 2Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.

Abstract

A dieulafoy lesion, which is an unusual cause of gastrointestinal bleeding that can be fatal in children. Dieulafoy lesions are characterized by an abnormally large eroded submucosal artery that is commonly located in the lesser curvature of the proximal stomach. In most cases, permanent hemostasis is achieved by endoscopic epinephrine injection, however, some patients require other endoscopic treatment modalities, embolization or surgery. We report here a case of a Dieulafoy lesion in an 11-year-old boy who had recurrent bleeding from the lesion in the duodenal bulb after endoscopic epinephrine injection and surgical ligation, that was successfully treated using coil embolization.

Keyword

Dieulafoy lesion; Coil embolization

MeSH Terms

Arteries
Child*
Cytochrome P-450 CYP1A1
Embolization, Therapeutic
Epinephrine
Hemorrhage
Hemostasis
Humans
Ligation
Male
Stomach
Cytochrome P-450 CYP1A1
Epinephrine
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