RESEARCH HIGHLIGHT: "Dieulafoy Lesion in a Pediatric Patient"

“While dieulafoy lesion is a known etiology of GI bleeding in adults, it is less described in the pediatric population.”

background

While dieulafoy lesion is a known etiology of GI bleeding in adults, it is less described in the pediatric population. When should clinicians suspect this rarer pathology and how does that change clinical management?

PROJECT DESCRIPTION

Case report that describes a pediatric patient with a rare presentation of upper GI bleed: dieulafoy lesion. It further describes the incidence of this condition, differential, and management. 

PROJECT FINDINGS

Children presenting with symptoms of upper GI bleeding can have certain epidemiological factors that make this pathology more likely. They should receive appropriate resuscitation and stabilization with crystalloid and blood products. Definitive treatment is endoscopy with clips or epinephrine and it is important to get GI involved early as this condition has the potential to decompensate quickly. 

conclusion

It is important to consider rarer causes of upper GI bleeding in pediatric population in order to provide appropriate care.

LINK TO ARTICLE: "Dieulafoy Lesion in a "Dieulafoy Lesion in a Pediatric Patient" Patient
CITATION: Meylakh Barshay, Maiya Cowan, Meghan Beucher. “Dieulafoy Lesion in a Pediatric Patient.” Pediatr Emerg Care, 2025;41:496–4

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Author: Gabriel Padilla, MD, is a current third-year emergency medicine resident at Brown Emergency Medicine.

Faculty Reviewer: Meghan Beucher, MD, is an Assistant Professor of Emergency Medicine & Pediatrics at Brown Emergency Medicine.