Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child
Gastric hematoma is an exceptionally rare condition in pediatric patients. It is characterized by the accumulation of blood within the gastric wall, resulting in the formation of a mass. Coagulopathy is the most common cause of gastric hematoma, although other etiologies include gastric ulcer, amylo...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1533324/full |
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| author | Ming Xiao Jin Lu Jin Lu Yu Chen Yu Chen Weiwei Sun Youcheng Sun Yutian Li Yang Jiang Xingchen Lian Zhengqiang Zhou Xin Qi |
| author_facet | Ming Xiao Jin Lu Jin Lu Yu Chen Yu Chen Weiwei Sun Youcheng Sun Yutian Li Yang Jiang Xingchen Lian Zhengqiang Zhou Xin Qi |
| author_sort | Ming Xiao |
| collection | DOAJ |
| description | Gastric hematoma is an exceptionally rare condition in pediatric patients. It is characterized by the accumulation of blood within the gastric wall, resulting in the formation of a mass. Coagulopathy is the most common cause of gastric hematoma, although other etiologies include gastric ulcer, amyloidosis, pancreatitis, and splanchnic vascular aneurysms. However, the pathophysiology of gastric hematoma remains incompletely understood. It is presumed to be caused by ruptures of the submucosal vessels, leading to dissection of the muscular layer and the formation of a false lumen. Herein, we report the case of a 4 year-old girl who was admitted to our hospital with a large intragastric mass. She presented with hematemesis, and a large hematoma was visualized via gastroscopy. After treatment, the patient underwent a second follow-up gastroscopy, which showed that the gastric mass had subsided, and multiple gastric ulcers were found in the gastric wall. After excluding other causes, we considered that the gastric hematoma may have been caused by the ulcers. By discussing the clinical presentation and treatment options in this case, we hope to improve the understanding of pediatric gastric hematoma so that serious complications can be avoided in future cases. |
| format | Article |
| id | doaj-art-a18bd7ba9c7b49e582d65ea5974dcbf8 |
| institution | OA Journals |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-a18bd7ba9c7b49e582d65ea5974dcbf82025-08-20T01:54:55ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-05-011310.3389/fped.2025.15333241533324Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a childMing Xiao0Jin Lu1Jin Lu2Yu Chen3Yu Chen4Weiwei Sun5Youcheng Sun6Yutian Li7Yang Jiang8Xingchen Lian9Zhengqiang Zhou10Xin Qi11Department of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaGraduate School, Dalian Medical University, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaGraduate School, Dalian Medical University, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaDepartment of Pediatric Surgery, Dalian Women and Children’s Medical Group, Dalian, ChinaGastric hematoma is an exceptionally rare condition in pediatric patients. It is characterized by the accumulation of blood within the gastric wall, resulting in the formation of a mass. Coagulopathy is the most common cause of gastric hematoma, although other etiologies include gastric ulcer, amyloidosis, pancreatitis, and splanchnic vascular aneurysms. However, the pathophysiology of gastric hematoma remains incompletely understood. It is presumed to be caused by ruptures of the submucosal vessels, leading to dissection of the muscular layer and the formation of a false lumen. Herein, we report the case of a 4 year-old girl who was admitted to our hospital with a large intragastric mass. She presented with hematemesis, and a large hematoma was visualized via gastroscopy. After treatment, the patient underwent a second follow-up gastroscopy, which showed that the gastric mass had subsided, and multiple gastric ulcers were found in the gastric wall. After excluding other causes, we considered that the gastric hematoma may have been caused by the ulcers. By discussing the clinical presentation and treatment options in this case, we hope to improve the understanding of pediatric gastric hematoma so that serious complications can be avoided in future cases.https://www.frontiersin.org/articles/10.3389/fped.2025.1533324/fullhematomaulcergastricinterventional treatmentpediatric surgery |
| spellingShingle | Ming Xiao Jin Lu Jin Lu Yu Chen Yu Chen Weiwei Sun Youcheng Sun Yutian Li Yang Jiang Xingchen Lian Zhengqiang Zhou Xin Qi Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child Frontiers in Pediatrics hematoma ulcer gastric interventional treatment pediatric surgery |
| title | Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| title_full | Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| title_fullStr | Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| title_full_unstemmed | Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| title_short | Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| title_sort | case report gastric intramural hematoma with acute upper gastrointestinal bleeding in a child |
| topic | hematoma ulcer gastric interventional treatment pediatric surgery |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1533324/full |
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