Life Threatening Upper Gastrointestinal Bleeding in Neonate: A Report of Two Cases.

Chang,  Yu Jin; Choi,  Il Rak; Lee,  Jeong Ju; Shin,  Won Sub; Jang,  Joo Young; Lee,  Jang Hoon; Park,  Moon Sung

doi:2012.19.2.102

Neonatal Med > Volume 19(2); 2012 > Article

Case Report

Journal of the Korean Society of Neonatology 2012;19(2):102-106.
DOI: https://doi.org/10.5385/jksn.2012.19.2.102 Published online May 31, 2012.

Life Threatening Upper Gastrointestinal Bleeding in Neonate: A Report of Two Cases.

Yu Jin Chang, Il Rak Choi, Jeong Ju Lee, Won Sub Shin, Joo Young Jang, Jang Hoon Lee, Moon Sung Park

Department of Pediatircs, Ajou University School of Medicine, Suwon, Korea. neopedlee@gmail.com

Abstract

Neonatal upper gastrointestinal bleeding is rare in healthy full term infants and is known to be caused by stress ulcer, intracranial hemorrhage, increased intracranial pressure, congenital heart disease, perinatal asphyxia, respiratory distress, hypoglycemia and use of drugs such as steroids. Mallory-Weiss syndrome and hemorrhagic gastritis can cause life threatening upper gastrointestinal bleeding and are rarely reported in neonates and young infants. The authors experienced a case of Mallory-Weiss syndrome in a full term infant without particular perinatal history and a case of acute hemorrhagic gastritis in a preterm infant born at 33 weeks of gestation and 2,260 g of birth weight, both showed life threatening upper gastrointestinal bleeding. We report these two cases with a review of current literature.

Key Words: Gastrointestinal hemorrhage; Infant; Newborn; Mallory-Weiss syndrome; Gastritis