Therapeutic endoscopy of a Dieulafoy lesion in a 10-year-old girl: A case report

BACKGROUND There are multiple causes of sudden gastrointestinal bleeding in children. Reports of Dieulafoy lesions (DLs) in children are scarce. DLs can be fatal without appropriate treatment. CASE SUMMARY We present a retrospective analysis of the clinical manifestations, endoscopic features, and treatment of a Chinese girl with a DL, as well as a review of the relevant literature. A 10-year-old girl was admitted to our hospital with sudden massive hematemesis and melena. Abdominal computed tomography revealed suspected submucosal bleeding in the stomach. Finally, the disease was diagnosed with endoscopy due to the typical manifestations. We used electrocoagulation and hemoclips under endoscopy for hemostasis. No recurrence of hematemesis was identified during 4-wk' follow-up. CONCLUSION DLs in children are rare but an important cause of sudden gastrointestinal hemorrhage. Many pediatricians are inexperienced and often miss or delay diagnosis. Endoscopy as early as possible is the first choice for diagnosis and treatment.