KENLY CHANDRA, MAGDALENA KRİSTİ DARADJATİ SAUDALE, CHRİSTY VENADA
Pediatric Academic Case Reports - 2025;4(3):46-51
Pediatric peptic ulcer disease (PUD) resulting in massive upper gastrointestinal bleeding (UGIB) is an uncommon yet critical condition that necessitates prompt and targeted intervention. We present a case of a 16-year-old female with severe hematemesis, melena, and hemodynamic instability, ultimately diagnosed with a duodenal ulcer via endoscopy. Initial resuscitation involved intravenous fluids, blood transfusions, proton pump inhibitors (PPIs), and tranexamic acid, followed by definitive hemostasis via endoscopic hemoclipping. This case underscores the significance of early recognition, timely resuscitation, and appropriate endoscopic intervention in managing pediatric UGIB. A literature review was conducted to contextualize the clinical approach, highlighting optimal treatment strategies in resource-limited settings. This case contributes to the growing body of knowledge on pediatric UGIB and provides clinically practical insights for improving patient outcomes.
