Matsueda Katsunori, Toyokawa Tatsuya, Sakata Masahiro, Fujita Isao, Horii Jouichiro, Abe Yoshiko, Araki Toru
Department of Gastroenterology, National Hospital Organization Fukuyama Medical Center, Japan.
Department of Pediatrics, National Hospital Organization Fukuyama Medical Center, Japan.
Intern Med. 2018 Oct 1;57(19):2833-2836. doi: 10.2169/internalmedicine.0895-18. Epub 2018 May 18.
A 1-year-old female toddler who was under a great amount of psychological stress presented with acute hematemesis. She had no significant medical history; she displayed lethargy and was anemic. Although blood transfusion and famotidine were administered for upper gastrointestinal bleeding (UGIB), the anemia did not improve. Thus, early endoscopy was performed under general anesthesia, revealing a gastric ulcer with exposed vessels in the supra-angular region. Cauterization via bipolar hemostatic forceps was performed on the exposed vessels, and the bleeding was controlled successfully. We diagnosed the patient with hemorrhagic stress-induced gastric ulcer due to psychological stress. Three months later, endoscopy revealed that the gastric ulcer had healed.
一名承受巨大心理压力的1岁女童出现急性呕血。她既往无重大病史；表现为嗜睡且贫血。尽管针对上消化道出血（UGIB）给予了输血和法莫替丁治疗，但贫血并未改善。因此，在全身麻醉下进行了早期内镜检查，发现胃角切迹上方有一个伴有血管外露的胃溃疡。对暴露的血管使用双极止血钳进行烧灼，出血得到成功控制。我们诊断该患者为因心理压力导致的出血性应激性胃溃疡。三个月后，内镜检查显示胃溃疡已愈合。
