J Korean Soc Neonatol.  2012 May;19(2):102-106. 10.5385/jksn.2012.19.2.102.

Life Threatening Upper Gastrointestinal Bleeding in Neonate: A Report of Two Cases

• Chang YJ
• Choi IR
• Lee JJ
• Shin WS
• Jang JY
• Lee JH
• Park MS

• KMID: 2188405
• DOI: http://doi.org/10.5385/jksn.2012.19.2.102

Abstract

Neonatal upper gastrointestinal bleeding is rare in healthy full term infants and is known to be caused by stress ulcer, intracranial hemorrhage, increased intracranial pressure, congenital heart disease, perinatal asphyxia, respiratory distress, hypoglycemia and use of drugs such as steroids. Mallory-Weiss syndrome and hemorrhagic gastritis can cause life threatening upper gastrointestinal bleeding and are rarely reported in neonates and young infants. The authors experienced a case of Mallory-Weiss syndrome in a full term infant without particular perinatal history and a case of acute hemorrhagic gastritis in a preterm infant born at 33 weeks of gestation and 2,260 g of birth weight, both showed life threatening upper gastrointestinal bleeding. We report these two cases with a review of current literature.

Keyword

Gastrointestinal hemorrhage; Infant; Newborn; Mallory-Weiss syndrome; Gastritis

MeSH Terms

Asphyxia
Birth Weight
Gastritis
Gastrointestinal Hemorrhage
Heart Diseases
Hemorrhage
Humans
Hypoglycemia
Infant
Infant, Newborn
Infant, Premature
Intracranial Hemorrhages
Intracranial Pressure
Mallory-Weiss Syndrome
Pregnancy
Steroids
Ulcer
Steroids