Dieulafoy lesion: two pediatric case reports

Nardo, Giovanni Di; Esposito, Gianluca; Mauro, Angela; Zenzeri, Letizia; Ciccarelli, Gian Paolo; Catzola, Andrea; Rossi, Alessandro; Corleto, Vito D.

doi:10.1186/s13052-020-0814-8

Cited by 9 publications

(8 citation statements)

References 24 publications

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“…4 Endoscopic injection, hemostatic clamping, ligation, and electrocoagulation are all common treatments, but there are still risks of hemostatic failure or bleeding recurrence. 5,6 Due to rapid bleeding and poor visual field, hemostasis under endoscopy failed in our case. Selective angiography can be used as a second-line treatment for DL.…”

Section: Discussionmentioning

confidence: 73%

Duodenal Dieulafoy lesion: a rare pathogeny of gastrointestinal bleeding in children

Liu¹,

Zhang²,

Li³

2022

Turk J Pediatr

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Background. Dieulafoy lesion is a calibre persistent submucosal artery associated with a minuter mucosal defect. Dieulafoy lesion has been reported to account for 1-5.8% of acute nonvariceal upper gastrointestinal bleeding in adults, but it is rarely reported in children. Case. Here we report a case of duodenal Dieulafoy lesion in a 13-year-old boy. After endoscopy and laparotomy, he still had no definite diagnosis and effective treatment. The duodenal Dieulafoy lesion was finally identified by selective angiography and was effectively treated by intravascular embolization. Conclusions. For unexplained upper gastrointestinal bleeding, the possibility of duodenal Dieulafoy lesion should be considered. A combination of multiple diagnosis and treatment methods can improve the success rate of diagnosis and treatment when a single test or treatment method cannot provide definitive diagnosis or effective treatment.

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Section: Discussionmentioning

confidence: 73%

Duodenal Dieulafoy lesion: a rare pathogeny of gastrointestinal bleeding in children

Liu¹,

Zhang²,

Li³

2022

Turk J Pediatr

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“…Surgery may ultimately be necessary if bleeding cannot be controlled. Di Nardo et al 7 studied pediatric cases of Dieulafoy’s lesions over the last 10 years and found hemostatic clipping to be successful in many cases. Many patients require multiple interventions due to a bleeding Dieulafoy’s lesions leading to complications and a prolonged hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Gastric necrosis and perforation following treatment of Dieulafoy’s lesion with embolization of multiple gastric arteries: A case report

Delgado

Patel

Israel

et al. 2022

SAGE Open Medical Case Reports

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Diagnosis, management, and treatment of Dieulafoy’s lesion have been complicated since its first mention in 1884. With increased awareness over the decades, Dieulafoy’s lesions are being managed differently based on the physician’s expertise. Herein, we report a case of a 58-year-old female who was found to have a Dieulafoy’s lesion on endoscopy, with her treatment complicated by gastric necrosis and perforation after multiple embolizations and limited surgical resection.

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“…Dieulafoy's disease occurs mostly in male adults and is rare in children. It is mostly sporadic and characterized by sudden, interstitial, and repeated bleeding ( 1 , 3 , 15 , 16 ). The incidence of Dieulafoy's disease in children has not been determined, and its causes are still unknown ( 3 , 16 ).…”

Section: Discussionmentioning

confidence: 99%

Massive gastrointestinal haemorrhage caused by pancreatic pseudocyst complicated with Dieulafoy's disease in a child: A case report and review of the literature

et al. 2022

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BackgroundPancreatic pseudocyst (PPC) with massive gastrointestinal bleeding is rare, especially in children. Inadvertent intraoperative examination and damage to the gastric mucosa and malformed blood vessels by the fluid content of PPC can lead to massive bleeding, which may endanger the patient's life.Case presentationHere, we present a case of an 8-year-old boy who was diagnosed with a massive gastrointestinal haemorrhage caused by PPC complicated with Dieulafoy's disease. At his first admission, his complaint was being hit to the stomach by the handlebar while riding bicycle 24 h before admission. After being hospitalized, he was diagnosed with pancreatic injury by abdominal CT. Conservative treatment lasted for 1 month in the Department of Pediatric Surgery. Then, a pancreatic pseudocyst was formed. Under the guidance of ultrasonic endoscopy, cyst puncture and drainage of pseudocysts through the gastric wall were performed. Unexplained hematemesis occurred 8 days after surgery. Emergency gastroscopy was performed, and abnormal submucosal vascular haemorrhage was found at the gastric fundus. Gastric Dieulafoy's disease was diagnosed. The boy underwent gastroscopic titanium clipping of abnormal arteries. He had no complications during the 3-month follow-up. Then, the patient returned to the hospital, and the stent was removed under endoscopy. No bleeding was found, and the patient was discharged. The patient recovered smoothly and was followed up for half a year without any complications, and hematological indicators were normal.ConclusionEndoscopic ultrasonography-guided gastric puncture and internal drainage of cysts is a safe and effective surgical method for the treatment of pancreatic pseudocysts. However, at the same time, it is necessary to thoroughly and carefully explore the stomach cavity to prevent adverse consequences caused by a missed diagnosis of gastric Dieulafoy's disease or other abnormal abnormalities.

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Dieulafoy lesion: two pediatric case reports

Cited by 9 publications

References 24 publications

Duodenal Dieulafoy lesion: a rare pathogeny of gastrointestinal bleeding in children

Duodenal Dieulafoy lesion: a rare pathogeny of gastrointestinal bleeding in children

Gastric necrosis and perforation following treatment of Dieulafoy’s lesion with embolization of multiple gastric arteries: A case report

Massive gastrointestinal haemorrhage caused by pancreatic pseudocyst complicated with Dieulafoy's disease in a child: A case report and review of the literature

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