Ribeiro Mário, Silva Rita A, Oliveira Diana R, Fernandes Dália, Neiva Filipa
Pediatrics, Hospital de Braga, Braga, PRT.
Gastroenterology and Hepatology, Hospital de Braga, Braga, PRT.
Cureus. 2024 Mar 2;16(3):e55376. doi: 10.7759/cureus.55376. eCollection 2024 Mar.
This report presents a case of a 16-year-old male with severe upper gastrointestinal bleeding caused by a Dieulafoy lesion (DL). A DL is a rare but life-threatening condition characterized by sudden and massive bleeding from a small arterial vessel in the gastrointestinal (GI) tract. Diagnosis is often made through esophagogastroduodenoscopy (EGD), which reveals an enlarged submucosal blood vessel. The patient was successfully treated with adrenaline injection and hemoclipping during EGD. This case highlights the importance of considering a DL as a potential cause of severe upper GI bleeding in pediatric patients and emphasizes the significance of early recognition and intervention to achieve favorable outcomes. Additional investigation is required to enhance our comprehension of the occurrence, etiology, and most effective approaches to managing DLs in pediatric patients.
本报告介绍了一例由Dieulafoy病变(DL)导致严重上消化道出血的16岁男性病例。DL是一种罕见但危及生命的疾病,其特征是胃肠道(GI)内一条小动脉血管突然大量出血。诊断通常通过食管胃十二指肠镜检查(EGD)进行,该检查可发现黏膜下血管扩张。在EGD检查期间,患者通过肾上腺素注射和止血夹成功治疗。该病例强调了将DL视为儿科患者严重上消化道出血潜在原因的重要性,并强调了早期识别和干预以取得良好结果的意义。需要进一步研究以加深我们对儿科患者DL的发生、病因及最有效管理方法的理解。