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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

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Dieulafoy lesion: two pediatric case reports.

Giovanni Di Nardo¹, Gianluca Esposito², Angela Mauro³

¹Chair of Pediatrics, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea University Hospital, Rome, Italy. giovanni.dinardo@uniroma1.it.

Italian Journal of Pediatrics

|April 21, 2020

Summary

This summary is machine-generated.

Pediatric massive upper gastrointestinal bleeding due to Dieulafoy lesions can be effectively treated with endoscopic interventions. Both band ligation and endoscopic hemoclipping offer successful treatment options for gastric Dieulafoy lesions in children.

Keywords:

Banding Children Clipping Dieulafoy Gastrointestinal bleeding Hemostasis

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Area of Science:

Pediatric Gastroenterology
Endoscopic Surgery

Background:

Massive upper gastrointestinal bleeding is rare in children.
Dieulafoy lesions, characterized by an abnormal submucosal artery, are an uncommon cause of severe gastrointestinal hemorrhage.

Observation:

Two pediatric cases of gastric Dieulafoy lesions are presented.
Case 1: An 18-month-old infant with sepsis experienced hematemesis and melena, treated with endoscopic band ligation.
Case 2: An 8-year-old male with massive hematemesis and melena was treated with endoscopic hemoclipping.

Findings:

Endoscopic evaluation revealed Dieulafoy lesions in the stomach of both pediatric patients.
Both cases achieved successful hemostasis and clinical improvement following endoscopic intervention.
Band ligation and endoscopic hemoclipping were demonstrated as effective treatment modalities.

Implications:

Endoscopic therapy is a viable and successful treatment for gastric Dieulafoy lesions in pediatric patients.
Both band ligation and hemoclipping are suitable endoscopic techniques for managing pediatric Dieulafoy lesions.
These findings support the application of established endoscopic treatments in pediatric cases, mirroring adult patient outcomes.