Dieulafoy disease in a child:a case report and literature review

VernacularTitle:儿童杜氏病1例报告
Author: Yong ZHANG ; Yuanyan TU ; Shaoshan HE ; Xinlong ZHOU ; Zhen LI ; Yongpei WANG
Keywords: Dieulafoy disease; caliber-persistent artery; gastroscope; child
From: Journal of Clinical Pediatrics 2017;35(7):537-539
CountryChina
Language:Chinese
Abstract: Objectives To explore the clinical diagnosis and treatment of Dieulafoy disease in children. Method The clinical features, endoscopic features and treatment of Dieulafoy disease in a child were reviewed. Results The 2-year-5-month old girl was admitted due to hematemesis for 7 hours. She was diagnosed of Dieulafoy disease by the typical endoscopic appearance. Gastroscopy showed that the lesion was located in gastric angle which was the predilection position of Dieulafoy disease. The small red blood vessels in the central part of the erosion area was exposed on the mucosal surface. The high frequency electrocoagulation under gastroscope was performed and effect was definite. Conclusion Dieulafoy disease is rare in children and lacks obvious clinical features. Endoscopic treatment has definite effect with little trauma and is the first choice of treatment.