{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:11:55Z","timestamp":1753891915497,"version":"3.41.2"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Gastric hematoma is an exceptionally rare condition in pediatric patients. It is characterized by the accumulation of blood within the gastric wall, resulting in the formation of a mass. Coagulopathy is the most common cause of gastric hematoma, although other etiologies include gastric ulcer, amyloidosis, pancreatitis, and splanchnic vascular aneurysms. However, the pathophysiology of gastric hematoma remains incompletely understood. It is presumed to be caused by ruptures of the submucosal vessels, leading to dissection of the muscular layer and the formation of a false lumen. Herein, we report the case of a 4 year-old girl who was admitted to our hospital with a large intragastric mass. She presented with hematemesis, and a large hematoma was visualized via gastroscopy. After treatment, the patient underwent a second follow-up gastroscopy, which showed that the gastric mass had subsided, and multiple gastric ulcers were found in the gastric wall. After excluding other causes, we considered that the gastric hematoma may have been caused by the ulcers. By discussing the clinical presentation and treatment options in this case, we hope to improve the understanding of pediatric gastric hematoma so that serious complications can be avoided in future cases.<\/jats:p>","DOI":"10.3389\/fped.2025.1533324","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:14:10Z","timestamp":1747631650000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Gastric intramural hematoma with acute upper gastrointestinal bleeding in a child"],"prefix":"10.3389","volume":"13","author":[{"given":"Ming","family":"Xiao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiwei","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youcheng","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutian","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingchen","family":"Lian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengqiang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Qi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1186\/s12877-024-04991-6","article-title":"Spontaneous isolated gastric intramural hematoma combined with spontaneous superior mesenteric artery intermural hematoma is rare","volume":"24","author":"Zhang","year":"2024","journal-title":"BMC Geriatr"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e284","DOI":"10.1002\/deo2.284","article-title":"A case of idiopathic gastroesophageal submucosal hematoma in a patient with no predisposition to bleeding","volume":"4","author":"Iwado","year":"2024","journal-title":"DEN Open"},{"key":"B3","doi-asserted-by":"publisher","first-page":"9568983","DOI":"10.1155\/2023\/9568983","article-title":"Perigastric hematoma masquerading as a gastric tumor","volume":"2023","author":"Yang","year":"2023","journal-title":"Case Rep Gastrointest Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e18926","DOI":"10.7759\/cureus.18926","article-title":"Gastric mass: intramural hematoma","volume":"13","author":"Schwalbe","year":"2021","journal-title":"Cureus"},{"key":"B5","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1186\/s13256-018-1595-1","article-title":"Large gastric intramural hematoma mimicking a visceral artery aneurysm: a case report","volume":"12","author":"Yoshioka","year":"2018","journal-title":"J Med Case Rep"},{"key":"B6","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1155\/2009\/503129","article-title":"Gastric intramural hematoma: a case report and literature review","volume":"23","author":"Dhawan","year":"2009","journal-title":"Can J Gastroenterol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"231","DOI":"10.2169\/internalmedicine.39.231","article-title":"A giant intramural gastric hematoma successfully treated by transcatheter arterial embolization","volume":"39","author":"Imaizumi","year":"2000","journal-title":"Intern Med"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1533324\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:14:12Z","timestamp":1747631652000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1533324\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":7,"alternative-id":["10.3389\/fped.2025.1533324"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1533324","relation":{},"ISSN":["2296-2360"],"issn-type":[{"type":"electronic","value":"2296-2360"}],"subject":[],"published":{"date-parts":[[2025,5,19]]},"article-number":"1533324"}}