World Congress of Gastroenterology

WCOG 2019


 
GI BLEED DUE TO EROSION OF GASTRODUODENAL ARTERY IN A SEVEN YEAR OLD GIRL
MALAY SHARMA 1 Gaurav Ratnaparkhi 1 Sarthak Atri 1 Mahesh Patil 1 Nikhil Mahajan 1 Sunil Reddy 1 Astha Shukla 1 Mysore Nagaraja 1

1- JASWANT RAI SPECIALITY HOSPITAL
 
Abstract:

A 7 Year old female presented with history of RTA with poly trauma and head injury. On day 6, she was in shock and having persistent melena. She required 4 Units of blood transfusion for stabilization.She was treated with antibiotics, PPI and supportive care.

 

After stabilization OGD scopy was done, which showed a single large clean based duodenal ulcer with pulsating vessel at the base.

Endoscopic ultrasound revealed gastro-duodenal artery at the base of an ulcer.

Considering clinical and endoscopic findings, possibility of stress ulcer with eroding artery at the base was considered.

OTSC clip was deployed at the ulcer base.

Hemostasis achieved, patient improved thereafter and remained stable hemodynamically without any further need of blood transfusion. On day 7 after endoscopic intervention, repeat OGD showed clip in D1 without any fresh bleeding.

 

Keywords:

Stress ulcer, GI bleeding, Endoscopic ultrasound