Massive upper gastrointestinal bleeding due to a gastric ulcer in a newborn

Akduman H., Fettah N. D., Tok A., Çitli R., Gürsoy B. K.

Baylor University Medical Center Proceedings, cilt.35, sa.4, ss.567-568, 2022 (Scopus)

Özet

Usually, swallowing of maternal blood is the cause of bloody vomiting in healthy term newborns. Other reported causes include gastritis, esophagitis, gastric ulcer, and duodenal ulcer. We report a newborn girl born by cesarean at 372/7 weeks who had hematemesis on postnatal day 1 and hematochezia on day 2. An erythrocyte transfusion was given on day 3. Gastroscopy performed on day 4 showed multiple gastric ulcers. Antacid treatment was given. On day 12, the newborn had a good general condition and stable vital signs and was discharged. Gastric ulcer needs to be considered as the etiology of hematemesis in healthy term newborns.