Dieulafoy 병변 소아의 내시경적 치료 1례
Endoscopic Management with Ethanol Injection in a Child with Gastric Dieulafoy Lesion
김현진, 신지선, 서정완,
소속 상세정보
김현진 ( Kim Hyun-Jin )
이화여자대학교 의과대학 소아과학교실
신지선 ( Shin Ji-Sun )
이화여자대학교 의과대학 소아과학교실
서정완 ( Seo Jung-Wan )
이화여자대학교 의과대학 소아과학교실
KMID : 0816120030060020187
Abstract
The Dieulafoy´s lesion is a rare cause of recurrent massive gastrointestinal bleeding in children. The bleeding results from an abnormally large submucosal artery that protrudes through a small mucosal defect. The lesion is commonly found on proximal stomach. Surgical intervention was believed to be the best treatment in the past, but recent advancement in endoscopy has made effective hemostasis possible. We report a case of a 9-year-old boy with underlying mycoplasma pneumonia with effusion who presented with massive upper gastrointestinal bleedimy. Blecclino was controlled with endoscopic treatment by epinephrine and ethanol injection and the patient was successfully treated.
키워드
Diculafoy´s lesion;Massive gastric bleeding;Endoscopic treatment;Child
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