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Pediatr Gastroenterol Hepatol Nutr. 2017 Jun;20(2):134-137. English. Case Report. https://doi.org/10.5223/pghn.2017.20.2.134
Lee YA , Chun P , Hwang EH , Lee YJ , Kim CW , Park JH .
Good Gang-An Hospital, Busan, Korea.
Department of Pediatrics, Pusan National University College of Medicine, Busan, Korea. jhongpark@pusan.ac.kr
Department of Radiology, Pusan National University College of Medicine, Busan, Korea.
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.

Copyright © 2019. Korean Association of Medical Journal Editors.