Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 1966-1972
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1966
Therapeutic endoscopy of a Dieulafoy lesion in a 10-year-old girl: A case report
Ying Chen, Mei Sun, Xu Teng
Ying Chen, Mei Sun, Xu Teng, Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Chen Y and Teng X performed the literature, collected all the data related to the case report and contributed to manuscript drafting; Sun M and Teng X reviewed the literature; all authors have read and approved the final manuscript.
Informed consent statement: All authors read and approved the manuscript. Written informed consent was obtained from the patient's parent for publication of this Case report and any accompanying images.
Conflict-of-interest statement: The authors report no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xu Teng, MD, Associate Professor, Department of Pediatrics, Shengjing Hospital of China Medical University, Sanhao Street Heping District, Shenyang 110004, Liaoning Province, China. tengx@sj-hospital.org
Received: August 16, 2021
Peer-review started: August 16, 2021
First decision: October 22, 2021
Revised: October 27, 2021
Accepted: January 14, 2022
Article in press: January 14, 2022
Published online: February 26, 2022
Processing time: 191 Days and 1.5 Hours
Abstract
BACKGROUND

There are multiple causes of sudden gastrointestinal bleeding in children. Reports of Dieulafoy lesions (DLs) in children are scarce. DLs can be fatal without appropriate treatment.

CASE SUMMARY

We present a retrospective analysis of the clinical manifestations, endoscopic features, and treatment of a Chinese girl with a DL, as well as a review of the relevant literature. A 10-year-old girl was admitted to our hospital with sudden massive hematemesis and melena. Abdominal computed tomography revealed suspected submucosal bleeding in the stomach. Finally, the disease was diagnosed with endoscopy due to the typical manifestations. We used electrocoagulation and hemoclips under endoscopy for hemostasis. No recurrence of hematemesis was identified during 4-wk’ follow-up.

CONCLUSION

DLs in children are rare but an important cause of sudden gastrointestinal hemorrhage. Many pediatricians are inexperienced and often miss or delay diagnosis. Endoscopy as early as possible is the first choice for diagnosis and treatment.

Keywords: Pediatric; Dieulafoy lesion; Endoscopy; Treatment; Case report

Core Tip: Dieulafoy lesions (DLs) are vascular abnormalities consisting of tortuous, dilated aberrant submucosal vessels. We present a 10-year-old girl with acute gastrointestinal hemorrhage due to a DL. We used electrocoagulation and hemoclips under endoscopy for hemostasis. This case highlights that while DLs in children are rare, they can be an important cause of sudden gastrointestinal hemorrhage. Many pediatricians are inexperienced and often miss or delay diagnosis. Endoscopy as early as possible is the first choice for diagnosis and treatment.