Korean Journal of Gastrointestinal Endoscopy 2009;39(3): 166-168.
소아에서 급성 장염 후 대량 출혈을 유발한 회맹판의 Dieulafoy양 병변 1예
소재승ㆍ김성훈ㆍ이윤재ㆍ김인희ㆍ김상욱ㆍ이승옥ㆍ김대곤ㆍ이수택
전북대학교 의학전문대학원 소화기내과학교실
A Case of Dieulafoy-like Lesion with Massive Bleeding at Ileocecal Valve Following Acute Infectious Colitis in a Pediatric Patient
Jae Seung Soh, M.D., Seong Hun Kim, M.D., Yoon Jae Lee, M.D., In Hee Kim, M.D., Sang Wook Kim, M.D., Seung Ok Lee, M.D., Dae Ghon Kim, M.D. and Soo Teik Lee, M.D.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea
Abstract
The common causes of lower gastrointestinal bleeding in children are intussusception, rectal juvenile polyp, chronic inflammatory colitis and Meckel's diverticulum. Bleeding from Dieulafoy's ulcer at the lower gastrointestinal tract is rare, but this often occurs in the rectum. So far, there has been no report that a Dieulafoy lesion in the ileocecal valve might be formed after acute colitis in a pediatric patient. In this case report, a Dieulafoy-like lesion at the ileocecal valve caused lower gastrointestinal bleeding in an asymptomatic 14-year-old woman. A careful history taking and medical examination are mandatory to identify the bleeding focus in the GI tract and this can be treated by endoscopy. (Korean J Gastrointest Endosc 2009;39:166-168)
PDF Links
Full text via DOI 
Download Citation 
