HEMORRHAGIC DUODENAL ULCER IN THREE INFANTS

Abstract

Case 1 : A 17-month-old girl with cerebral palsy was diagnosed as having a duodenal ulcer by esophagogastroduodenoscopy (EGD). When EGD was repeated, a false aneurysm was found. We decided that endoscopic treatment was impossible and performed coil embolization. Case 2 : A 1-year-old girl was diagnosed with duodenal ulcer by EGD and duodenal ulcer perforation was revealed by computed tomography scan. We performed omental plombage and abdominal cavity drainage. Case 3 : A 17-month-old boy was diagnosed by EGD as having a duodenal ulcer with protruding vessels. Endoscopic local injection and clipping were applied. Upon re-examination, we found a false aneurysm. We performed duodenal plication, gastroduodenal artery ligation and omental coating. Postoperative courses were good in all three cases. As peptic ulcers in infants sometimes become severe, we should remember that intensive care is needed.