Prolapse gastropathy: a rare cause of gastrointestinal bleeding in a child:

Taiba J  Afaa; Victor  K Etwire; Joycelyn A Dame; Claudia  Adja-Sai; Kokou H Amegan-Aho

doi:10.46829/hsijournal.2022.6.3.1.341-344

Taiba J Afaa Department of Child Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Victor K Etwire Department of Surgery, Korle Bu Teaching Hospital, Korle-Bu, Accra, Ghana
Joycelyn A Dame Department of Child Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana; Department of Child health, Korle bu teaching Hospital, Accra, Ghana.
Claudia Adja-Sai Department of Child Health, Korle-bu Teaching Hospital, Accra, Ghana.
Kokou H Amegan-Aho Department of Paediatrics, School of Medicine, University of Allied Health Sciences, Volta Region, Ghana

DOI: https://doi.org/10.46829/hsijournal.2022.6.3.1.341-344

Keywords: Gastrointestinal, endoscopy, children, prolapse, gastropathy

Abstract

Prolapse gastropathy is a clinical syndrome defined as the invagination of the gastric mucosa into the lower oesophagus due to persistent retching and vomiting. A 15-month-old boy who was previously well presented with repetitive non-bilious vomiting and haematemesis. All laboratory investigations were essentially unremarkable. Upper gastrointestinal endoscopy showed prolapsed gastric mucosa in the oesophagus. The patient was managed with a proton pump inhibitor and cyproheptadine. The lesion had resolved at week 10 follow-up endoscopy. Early upper gastrointestinal endoscopy after adequate resuscitation is required to diagnose vomiting-induced haematemesis due to prolapse gastropathy accurately.

Prolapse gastropathy: a rare cause of gastrointestinal bleeding in a child

Prolapse gastropathy in a child

Abstract