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Case report
A rare anomaly: duodenal Dieulafoy’s lesion in a preterm baby
  1. Devendrasing Vijaysing Jadhav1,
  2. Anees Ahmed Siddiqui2,
  3. Dalwinder Singh1 and
  4. Shiva Shankar1
  1. 1NICU, Al Jalila Children's Specialty Hospital, Dubai, UAE
  2. 2Pediatric Gastroenterologist, Al Jalila Children's Specialty Hospital, Dubai, UAE
  1. Correspondence to Dr Devendrasing Vijaysing Jadhav; dvndrjdhv{at}yahoo.com

Abstract

Neonatal Dieulafoy’s lesion is a rare but serious condition that can be life-threatening if not diagnosed and intervened in a timely manner. It presents with episodes of sudden acute gastrointestinal haemorrhage in the form of blood in vomit and/or blood in stool. In general, most of the lesions are successfully treated with endoscopic or angiographic intervention. Surgery is usually reserved for cases that fail endoscopic or angiographic intervention. We present a neonatal case of duodenal Dieulafoy’s lesion that occurred in a 29-week-old male baby with birth weight of 1.2 kg. He developed melena and haematemesis at 4 weeks of life. He required normal saline boluses and transfusion of blood products for acute blood loss. The lesion was successfully treated with endoscopic intervention.

  • GI bleeding
  • endoscopy
  • haematology (incl blood transfusion)
  • neonatal and paediatric intensive care
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2021-242911

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    Footnotes

    • Contributors All authors have read and approved the manuscript. DVJ: Drafted the manuscript and approved the final manuscript as submitted. AAS: Reviewed the manuscript and approved the final manuscript as submitted. DS: Drafted the manuscript and approved the final manuscript as submitted. SS: Critically reviewed the manuscript and approved the final manuscript as submitted.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.