Pediatric Gastroenterology, Hepatology & Nutrition
- Volume 10 Issue 2
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- Pages.193-196
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- 2007
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
A Case of a Dieulafoy Lesion Treated using Coil Embolization in a Child
코일 색전술로 치료한 소아 Dieulafoy 병변 1예
- Jung, Ji-Mi (Department of Pediatrics. Busan Paik Hospital, College of Medicine, Inje University) ;
- Song, Min-Seob (Department of Pediatrics. Busan Paik Hospital, College of Medicine, Inje University) ;
- Chi, Geun-Ha (Department of Pediatrics. Busan Paik Hospital, College of Medicine, Inje University) ;
- Bae, Jae-Ik (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
- Park, Ao-Whan (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University)
- 정지미 (인제대학교 의과대학 부산백병원 소아과학교실) ;
- 송민섭 (인제대학교 의과대학 부산백병원 소아과학교실) ;
- 지근하 (인제대학교 의과대학 부산백병원 소아과학교실) ;
- 배재익 (인제대학교 의과대학 부산백병원 영상의학교실) ;
- 박오환 (인제대학교 의과대학 부산백병원 영상의학교실)
- Received : 2007.07.31
- Accepted : 2007.08.30
- Published : 2007.09.30
Abstract
A dieulafoy lesion, which is an unusual cause of gastrointestinal bleeding that can be fatal in children. Dieulafoy lesions are characterized by an abnormally large eroded submucosal artery that is commonly located in the lesser curvature of the proximal stomach. In most cases, permanent hemostasis is achieved by endoscopic epinephrine injection, however, some patients require other endoscopic treatment modalities, embolization or surgery. We report here a case of a Dieulafoy lesion in an 11-year-old boy who had recurrent bleeding from the lesion in the duodenal bulb after endoscopic epinephrine injection and surgical ligation, that was successfully treated using coil embolization.
저자들은 내시경적 에피네프린 국소 주입법과 수술적 혈관 결찰술 후에도 출혈이 재발된 Dieulafoy 병을 가진 환아에서 동맥 코일 색전술로 지혈된 증례를 문헌 고찰과 함께 보고한다.