Bleeding gastric ulcer in a newborn infant diagnosed by transumbilical aortography

Fetal Gastric Ulcer Presenting with Bloody Amniotic Fluid

“…However, if there is massive bleeding, then it will be difficult to identify the bleeding site. Angiography is recommended to visualize the bleeding site using contrast media (12,14) such as transumbilical aortography in the newborn (14).…”

“…Surgical treatment of the bleeding peptic ulcer should be reserved for the small group of patients who have gastrointestinal perforation or significant blood loss that is unresponsive to supportive treatment. Simple ligation of the ulcer (14), devascularization of the stomach (18), and vagotomy combined with pyloroplasty (4,8) have been advocated in the newborn. We believe our patient is the first case in whom gastric ulceration with bleeding is present in the fetus with clinical manifestation of bloody amniotic fluid and very early onset of bloody stool.…”