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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

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. 


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eISSN: 2704-4890
print ISSN: 2720-7609