All issues > Volume 47(10); 2004

Case Report

Korean J Pediatr. 2004;47(10):1124-1127. Published online October 15, 2004.

A Case of Dieulafoy's Lesion Presenting Upper Gastrointestinal Bleeding in a Child in the Acute Phase of Kawasaki Disease

Seung Min SM Lee¹, Seok Woo SW Park¹, Yun Hee YH Kim¹, Ji Eun JE Lee¹, Young Jin YJ Hong¹, Byong Kwan BK Son¹

¹Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea

Correspondence Ji Eun JE Lee ,Email: anicca@inha.ac.kr

Abstract

Dieulafoy's lesion is an unusual cause of massive gastrointestinal bleeding resulting from the erosion of an abnormally large submucosal artery. Recently, improvement of endoscopic techniques has made effective hemostasis possible in most cases of Dieulafoy's lesion. Aspirin, which is an anti-inflammatory agent, increases the incidence of major upper gastrointestinal complications. Gastroduodenal mucosal injury associated with aspirin therapy in patients in the acute phase of Kawasaki disease is a rare complication that may require urgent medical intervention. We experienced a rare case of active bleeding from Dieulafoy's lesion in the stomach who was treated with oral aspirin in the acute phase of Kawasaki disease. If there is massive hematemesis during the treatment of Kawasaki disease, Dieulafoy's lesion should be considered even though it is rare.

Keywords :Dieulafoy's lesion, Kawasaki disease, Upper gastrointestinal bleeding