An unusual case of hematemesis in a 12-month-old

Dana Mueller, Luke Schroeder, Rahul Kaila, Jeff Louie

Research output: Contribution to journalReview articlepeer-review

Abstract

A 12-month-old male with a history of failure to thrive and hypothyroidism presented to a pediatric emergency department twice in a 24-hour period with complaint of hematemesis. The patient had a recent upper endoscopy and biopsy as part of a work-up for failure to thrive, but had no other pertinent positives in clinical history. Ultrasound demonstrated findings concerning for an intramural duodenal hematoma. The patient was admitted to the gastroenterology service for intravenous hydration and nasogastric decompression. He did not require any invasive management or blood products. Duodenal hematoma is a known, but very uncommon complication of upper endoscopy.

Original languageEnglish (US)
Pages (from-to)433-434
Number of pages2
JournalPediatric Emergency Care
Volume31
Issue number6
DOIs
StatePublished - Jun 13 2015

Keywords

  • Hematemesis
  • biopsy
  • duodenal hematoma
  • upper endoscopy

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