A rare anomaly: duodenal Dieulafoy's lesion in a preterm baby

BMJ Case Rep. 2021 Jul 13;14(7):e242911. doi: 10.1136/bcr-2021-242911.


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.

Keywords: GI bleeding; endoscopy; gastrointestinal surgery; haematology (incl blood transfusion); neonatal and paediatric intensive care.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Duodenum*
  • Gastrointestinal Hemorrhage* / etiology
  • Hematemesis / etiology
  • Humans
  • Infant, Newborn
  • Male
  • Melena / etiology