Dieulafoy Lesion: An Uncommon Cause of Gastrointestinal Bleeding in Children

previous upper GI endoscopies (UGIEs).There were no similar complaints among family members, and the patient maintained good scholastic performance.He was hemodynamically stable with normal anthropometry for his age [weight: 51 kg, weight for age (W/A): -0.91 z; height: 165 cm, height for age (H/A): -0.95 z; body mass index (BMI): 18.7 kg/m 2 (n: 18.5-22 kg/m 2 )].Tachycardia was present with a pulse rate of 124 beats/minute, and blood pressure (BP) was IntroductIonA Dieulafoy lesion (DL) is a rare, intermittent, and self-limiting cause of upper gastrointestinal (GI) bleeding in the pediatric agegroup.It occurs because of an aberrant and tortuous submucosal blood vessel protruding into an intact and normal mucosa, leading to massive GI hemorrhage on exposure to bowel contents.It is commonly found in the proximal stomach and accounts for a minute proportion (1-2%) of GI bleed in children. 1 As per our knowledge, there are fewer than 50 cases of pediatric DL reported worldwide, with only three from India.[2][3][4] Hence, we present a rare case of DL in a child with recurrent and obscure GI bleeding.This is the second case of pediatric DL successfully treated by endoscopic hemoclip application from India. case descrIptIonA 14-year-old adolescent boy presented with a 2-year history of on-and-off passage of black tarry stools, with the most recent episode of active melena continuing now for the past 3 days at the time of presentation.The patient did not exhibit other concerning symptoms such as blood in vomitus, yellowish discoloration of eyes or urine, abdominal distension, abnormal body movements, abdominal pain, loss of appetite, or significant weight loss.There was no history of bleeding from other sites, illicit drug use, or frequent over-the-counter medication intake.Despite a history of multiple previous admissions and blood transfusions in other hospitals, no cause of the GI bleeding was identified through three 1,2,4,