Pediatr Gastroenterol Hepatol Nutr.  2017 Jun;20(2):134-137. 10.5223/pghn.2017.20.2.134.

Gastric Hemangioma Treated with Argon Plasma Coagulation in a Newborn Infant

• Lee YA
• Chun P
• Hwang EH
• Lee YJ
• Kim CW
• Park JH

• KMID: 2384828
• DOI: http://doi.org/10.5223/pghn.2017.20.2.134

Abstract

Gastric hemangioma in the neonatal period is a very rare cause of upper gastrointestinal bleeding. We present a case of hemangioma limited to the gastric cavity in a 10-day-old infant. A huge, erythematous mass with bleeding was observed on the lesser curvature side of the upper part of the stomach. Surgical resection was ruled out because the location of the lesion was too close to the gastroesophageal junction. Medical treatment with intravenous Hâ‚‚ blockers, octreotide, packed red blood cell infusions, local epinephrine injection at the lesion site, application of hemoclip, and gel-form embolization of the left gastric artery did not significantly alter the transfusion requirement. Hemostasis was achieved with endoscopic argon plasma coagulation (APC). After two sessions of APC, complete removal of the lesion was achieved. APC was a simple, safe and effective tool for hemostasis and the ablation of gastric hemangioma without significant complications.

Keyword

Hemangioma; Stomach; Neonate; Argon plasma coagulation

MeSH Terms

Argon Plasma Coagulation*
Argon*
Arteries
Epinephrine
Erythrocytes
Esophagogastric Junction
Hemangioma*
Hemorrhage
Hemostasis
Humans
Infant
Infant, Newborn*
Octreotide
Stomach
Argon
Epinephrine
Octreotide

Figure

• 

  Fig. 1 Endoscopic image of the gastric hemangioma, showing a huge, erythematous mass with bleeding on the lesser curve side of the upper part of the stomach.

• 

  Fig. 2 (A) Endoscopic image of initial argon plasma coagulation (APC) showing necrotic tissue on the surface of the treated area. (B) Endoscopic image after second APC performed 18 days after initial APC.

• 

  Fig. 3 Follow-up endoscopic image at 9 months after initial APC showing complete ablation of hemangioma without complications.

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