The Evolution of Dieulafoy's Lesion Since 1897: Then and Now—A Journey through the Lens of a Pediatric Lesion with Literature Review

Table 1

Paediatric Dieulafoy lesions 1990–present (PubMed and Medline search “Dieulafoy” limited to paediatrics (0–18 years) and English/French languages.

Ref no.	Author		Age (Sex)	Presentation	Hb at presentation	Location of Dieulafoy lesion	Treatment
[19]	Shibutani et al. 2011	Case report	14 (F)	Loss of consciousness, massive hematochezia	8.4 g/dL	Ileum	Laparotomy, resection
[20]	Itani et al. 2010	Case report	6 (F)	Painless blood per rectum	13.9 g/dL	Sigmoid	Endoscopic resection with cauterization
[21]	Ezzat et al. 2010	Case report	7 (F)	Fever, abdominal pain, nausea, vomiting, and diarrhea	7.1 g/dL	Terminal ileum	Explorative laparotomy, ileocolectomy
[22]	Moreira-Pinto et al. 2009	Case report	14 (F)	Nausea, vomiting, dizziness, and loss of consciousness	10 g/dL	Jejunum	Segmental enterectomy
[23]	Marangoni et al. 2009	Case report	15 (F)	Melena, hematemesis, tachycardia, and hypotensive	NR	(1) Greater curvature stomach, (2) jejunum	(1) Injection NOR, endoscopic clip, and anterior gastrectomy; (2) small bowel resection
[24]	Prasad et al. 2007	Case report	13 (M)	Giddy, hypotensive	7.5 g/dL	Jejunum	Laparoscopic-assisted wedge resection jejunum
[25]	Linhares et al. 2006	Series	18 (NR)	Upper gastrointestinal bleeding	NR	Gastric lesion	Endoscopic sclerotherapy
[26]	Valera et al. 2006	Series	16 (M)	Gastrointestinal haemorrhage	NR	Fundus of stomach	Endoscopic injection therapy and band ligation
[27]	Avlan et al. 2005	Case report	3 (M)	Bloody vomiting, epigastric pain, and	8.6 g/dL	Corpus stomach	Endoscopic injection of EPI
[28]	Morowitz et al. 2004	Case report	4 (M)	lethargy abdominal pain, hematochezia, and blood per rectum	8.5 g/d:	Ileum	Laparoscopic segmental resection of ileum
[29]	Lilje et al. 2004	Case report	13 mo (M)	Haemorrhagic shock, hematemesis, melena, fatigue, and fever intermittent vomiting	6.3 g/dL	Stomach	Endoscopic injection of EPI
[30]	Pitcher et al. 2002	Case report	5 (M)	Massive hematemesis, haemorrhagic shock	3 g/dL	Incisura of stomach	Laparotomy with oversewing of the lesion
[31]	Owaki et al. 2002	Case report	12 (F)	Gastrointestinal bleed	NR	Distal jejunum	Partial jejunectomy
[4]	Shibutani et al. 2001	Case report	14 (F)	Massive hematochezia, tachycardia, and hypotensive	8.4 g/dL	Ileum	Laparotomy-ileal resection with primary anastomosis
[32]	Blecker et al. 2001	Case report	18 (M)	Syncope, sense of fullness, maroon-colored stool	8.1 g/dL	Proximal jejunum	Laparotomy resection of jejunal lesion
[33]	Guy et al. 2001	Case report	18 (F)	Painless rectal bleeding	5 g/dL	Anorectal junction	Surgical
[34]	Stockwell et al. 2000	Case report	8 week (F)	Respiratory distress, bloody oral secretion, pallor, and responsive only to painful stimuli	9.6 g/dL	Stomach	Sclerotherapy
[7]	Meister et al. 1998	2 case reports	5 (F)	Painless rectal bleeding	NR	Rectum	Injection with EPI and thermocoagulation