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Images in paediatrics
‘Watermelon stomach’ in a 3-year-old: an unusual cause of upper gastrointestinal bleeding in a child
  1. J Ducey1,
  2. J Puntis2,
  3. M Powis1
  1. 1Department of Paediatric Surgery, Leeds General Infirmary, Leeds, UK
  2. 2Department of Paediatric Gastroenterology, Leeds General Infirmary, Leeds, UK
  1. Correspondence to Dr J Ducey, Department of Paediatric Surgery, C Floor, Clarendon Wing, Leeds General Infirmary, Leeds LS1 3EX, UK; jrducey1{at}

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A 3-year-old girl with spina bifida presented with persistent upper gastrointestinal bleeding. Endoscopy demonstrated dilated and tortuous vasculature within the longitudinal folds of the gastric antrum, characteristic of gastric antral vascular ectasia (GAVE) (figure 1).1 Known from its appearance as ‘watermelon stomach’, GAVE has been recognised increasingly as a cause of gastrointestinal blood loss in the adult population, accounting for up to 4% of non-variceal cases.1 To our knowledge, …

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  • Contributors JD performed the literature review and wrote the first and final drafts of the manuscript. JP contributed to the writing of the manuscript and provided clinical input. MP was the operating surgeon at endoscopy, contributed to writing of the manuscript and provided clinical input.

  • Funding None.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.