3세 소아에서 토혈을 주소로 내원한 위식도 탈출증 1례
Prolapse Gastropathy Presenting with Hematemesis in a 3-year-old Child
조진성, 류일, 이근, 김재광,
소속 상세정보
조진성 ( Cho Jin-Seong )
가천의과학대학교 길병원 응급의학교실
류일 ( Ryoo Eell )
가천의과학대학교 길병원 소아과
이근 ( Lee Keun )
가천의과학대학교 길병원 응급의학교실
김재광 ( Kim Jae-Kwang )
가천의과학대학교 길병원 응급의학교실
KMID : 0816120030060020183
Abstract
Prolapse gastropathy is not uncommon in adult, but is not reported yet in previously healthy children. A 3-vear-old child came to our emergency room after a I -day history of emesis episodes with coffee-round hematemesis. During the endoscopic procedure, and the process of retching and vomiting was observed and a tense knuckle of -astric mucosa was seen to be forcefully and repeated prolapsed into the distal esopha-cal tnucosa, and mucosal hematoma was found in the gastric fundus. Upper gastrointestinal study revealed no abnormality and 24 hour pH monitoring revealed no pathologic gastrocsopha-cal retlux. Retching, is thought to cause the forceful prolapse and induce subsequent trauma of gastric mucosa. This case illustrates that the episodes of vi"orous rctchin" and resultant gastric mucosa are now considered to be the cause of the licnrttemesis and epigastric pain in children.
키워드
Hematemesis;Prolapse;Gastropathy
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