Dieulafoy lesions causing upper gastrointestinal bleeding in children

Mashavave, N Z; Govender, T.; Harrison, Derek; Theron, Andre

doi:10.1016/j.epsc.2019.01.008

Cited by 3 publications

(8 citation statements)

References 12 publications

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“…Older age patients with the said lesion may suggest it is acquired, while pediatric literature suggests it may represent a congenital anomaly [11]. One literature proposed an underlying mechanism: unlike the normal arterial tree that usually tapers off when approaching the distal branches, the lesion maintains dilated approximately 1 -3 mm all throughout.…”

Section: Discussionmentioning

confidence: 99%

An Infant with Dieulafoy’s Lesion: A Case Report from the Philippines

Manungas,

Umusig-Quitain,

Juruena-Beley

2023

OJGas

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This is a case of a 5-month-old infant who experienced repeated episodes of hematemesis and no known underlying health conditions. It was subsequently diagnosed as Dieulafoy's lesion localized in the lesser curvature of the stomach. Endoscopic diagnosis and treatment were done by angiographic embolization. Dieulafoy's lesion is considered rare even for adult cases, much more for pediatric patients and usually underdiagnosed. Hence, patients presenting with gastrointestinal bleeding should be managed in a multidisciplinary approach. Spreading awareness about this lesion by including it in the considerations, may help improve early detection and treatment.

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Section: Discussionmentioning

confidence: 99%

An Infant with Dieulafoy’s Lesion: A Case Report from the Philippines

Manungas,

Umusig-Quitain,

Juruena-Beley

2023

OJGas

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“…Gallard first characterized this illness in 1884 but French surgeon Georges Dieulafoy more precisely labeled it "exulceratio simplex" in 1898. 1,6 Most often, there is an abrupt, painless, severe and recurring hemorrhage in the presentation. Depending on where the lesion was, the presentation changed.…”

Section: Case Reportmentioning

confidence: 99%

“…Dieulafoy lesion, also known as "submucosal arteriole malformation" and "cirsoid aneurysm, 1 is a rare, sometimes fatal illness that can affect both children and adults. It is characterized by the presence of submucosal, abnormally large artery that erodes through the wall of the gastrointestinal tract, leading to spontaneous and sometimes severe bleeding.…”

Section: Introductionmentioning

confidence: 99%

“…However, endoscopy is the preferred method, as it allows direct visualization and potential treatment of the lesion during the procedure. 1 Treatment of Dieulafoy lesion in children focuses on stopping the bleeding and preventing further complications. With advances in endoscopic techniques, endoscopic therapy has gradually supplanted surgery as the primary method for identifying and treating Dieulafoy lesions.…”

Section: Introductionmentioning

confidence: 99%

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Gastric Dieulafoy lesion as a cause of upper gastro-intestinal bleeding in a 4-year-old child: a case report

Naher,

Sultana,

Kabir

et al. 2023

Birdem Med J

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Dieulafoy lesion, although rare, is a significant gastrointestinal condition that can affect children. These quiescent lesions can easily be overlooked and bleeding lesions are occasionally misidentified on endoscopy. So, accurate diagnosis depends on increased knowledge and improvements in endoscopic procedures. Treatment of Dieulafoy lesion in children usually involves in different modalities of endoscopic interventions to stop the bleeding and promote healing. In more severe cases or when endoscopic treatments are unsuccessful, surgical intervention may be required to remove the lesion. In this case report, we present the case of a boy of 4 years and 4 months old, who presented with hematemesis with melena. He appeared mildly pale, moderately dehydrated, had a moderate pulse volume, prolonged capillary refill time, a narrow pulse pressure and tenderness in the epigastrium when the abdomen was examined. His tests showed a low hemoglobin level (7.5 g/dl), a normal coagulation profile and several bleeding sites in the fundus and upper part of stomach on endoscopic examination, which are consistent with Dieulafoy lesions. BIRDEM Med J 2023; 13(3): 163-166

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“…primarii im kranialen Abschnitt des Magens jedoch keinen Plexus, bevor sie durch die Muscularis propria in die Submukosa ziehen [11,15,20]. Zahlreiche Arbeiten haben darüber hinaus gezeigt, dass das UD nicht magenspezifisch ist, sondern im gesamten gastrointesti-nalenTrakt zu findenist [8]. Läsionen, die dem klassischen Bild eines UD gleichen, konnten sogar extraintestinal (Bronchus) nachgewiesen [5,16] werden.…”

Section: Kasuistikunclassified

Tödliches Dieulafoy-Ulkus

Hagen

Varchmin-Schultheiß

2020

Rechtsmedizin

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Zusammenfassung Nach einem Schlaganfall wurde ein 51 Jahre alter Mann in eine Rehaklinik verlegt. Gemäß klinischen Angaben soll sich dort eine Sepsis entwickelt haben. Aufgrund eines plötzlichen Bewusstseinsverlustes wurde der Patient umgehend in die nächstgelegene Klinik verbracht, wo er trotz umgehender Behandlung verstarb. Da die Ehefrau Vorwürfe gegen das Personal der Rehaklinik erhob, wurde eine rechtsmedizinische Obduktion in Auftrag gegeben. Im Rahmen der Obduktion fielen große Mengen flüssigen Blutes im Magen sowie im oberen Gastrointestinaltrakt auf, sodass bereits autoptisch ein inneres Verbluten als Todesursache definiert wurde. Als Blutungsquelle kam ein makromorphologisch auffälliges, eröffnetes Gefäß im Magenfundus in Betracht. Die sichere Diagnose eines tödlichen Dieulafoy-Ulkus konnte jedoch erst nach histologischer Begutachtung erfolgen. Definierend für diesen Befund ist eine kaliberpersistente Arterie in der Submukosa ohne pathologische Veränderungen. Bei sicherer Diagnose kann dieser Befund einen plötzlichen Tod aus natürlicher Ursache darstellen. Da das Ulkus im gesamten gastrointestinalen Trakt vorkommen kann, ist bei relevantem Blutverlust und unklarer Blutungsquelle neben der genauen Inspektion eine histologische Aufarbeitung möglicher Blutungsquellen unerlässlich. Damit die Kriterien eines Dieulafoy-Ulkus beurteilt werden können, sollte neben einer HE(Hämatoxylin-Eosin)-Färbung mindestens eine EvG(Elastica-van-Gieson)-Färbung durchgeführt werden. Nur dann können alternative Entstehungsmöglichkeiten ausgeschlossen werden, welche aus forensischer Sicht möglicherweise hätten verhindert werden können.

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Dieulafoy lesions causing upper gastrointestinal bleeding in children

Cited by 3 publications

References 12 publications

An Infant with Dieulafoy’s Lesion: A Case Report from the Philippines

An Infant with Dieulafoy’s Lesion: A Case Report from the Philippines

Gastric Dieulafoy lesion as a cause of upper gastro-intestinal bleeding in a 4-year-old child: a case report

Tödliches Dieulafoy-Ulkus

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