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Related Experiment Videos

Pediatric rectal Dieulafoy's lesion

J D Tooson1, L S Marsano, L K Gates

  • 1Division of Digestive Diseases and Nutrition, University of Kentucky College of Medicine, Lexington, USA.

The American Journal of Gastroenterology
|December 1, 1995
PubMed
Summary

Rectal Dieulafoy's lesions are rare in children, with this case being the third reported. Successful treatment involved sclerotherapy and thermocoagulation, offering a new approach for severe rectal bleeding in pediatric patients.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Dieulafoy's lesions are a rare cause of gastrointestinal bleeding, typically located in the upper GI tract.
  • The left gastric artery commonly supplies the area where these lesions occur.

Observation:

  • This report details the third known case of a rectal Dieulafoy's lesion in medical literature.
  • The lesion was identified in a pediatric patient presenting with severe rectal bleeding.

Findings:

  • The rectal Dieulafoy's lesion in this pediatric case was successfully treated.
  • Treatment involved a combination of sclerotherapy and thermocoagulation.

Implications:

  • Rectal Dieulafoy's lesions should be considered in the differential diagnosis of severe rectal bleeding in children.

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  • Management principles for upper GI Dieulafoy's lesions, including injection therapy and thermal coagulation, are applicable to rectal cases.