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A Case of Dieulafoy's Lesion in Duodenal Bulb

Korean Journal of Pediatrics 2004;47(3):343-346.
Published online March 15, 2004.
A Case of Dieulafoy's Lesion in Duodenal Bulb
Jung Woo Rhim1, Young Seok Kim2, Jae Ock Park1
1Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon, Korea
2Department of Internal Medicine, College of Medicine, Soonchunhyang University, Bucheon, Korea
십이지장 구부에 발생한 Dieulafoy 병변 1례
임정우1, 김영석2, 박재옥1
1순천향대학교 의과대학 소아과학교실
2순천향대학교 의과대학 내과학교실
Correspondence: 
Jae Ock Park, Email: jop50@schbc.ac.kr
Abstract
Dieulafoy's lesion is an uncommon cause of recurrent massive gastrointestinal bleeding resulting from an abnormally large submucosal artery that protrudes through a small mucosal defect. Incidence of Dieulafoy's lesion as a source of upper gastrointestinal bleeding ranges from 0.3 to 6.7% in adults. But recently, the incidence is on an increasing trend by advanced endoscopic diagnostic technique. Lesions may occur anywhere in the gastrointestinal tract but are typically located within 6 to 10 cm of the gastroesophageal junction, generally along the lesser curvature of the stomach. Lesions are life threatening because bleeding is often massive and recurrent. The mean age of presentation is in the fifth decade and patients of pediatric age are extremely rare. We report a 12-year-old male patient who had Dieulafoy's lesion, diagnosed by emergency gastrointestinal endoscopy. Endoscopic finding was active bleeding from Dieulafoy's lesion in the duodenal second portion. Bleeding was controlled with endoscopic hemoclipping without complication or recurrence.
Key Words: Dieulafoy's lesion, Duodenum, Endoscopic hemoclipping, Children, Gastrointestinal hemorrhage


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