[Acute multifocal gastric hemorrhage in non-Hodgkin's lymphoma of the upper digestive tract in a 7-year-old female].

The acute gastric bleeding of children out of multifocal ulcers is an unusual leading symptom of systemic malignancy. Lymphomas of the gastrointestinal tract in children mostly are localized in the ileocoecal region and seldom in the stomach. The Zollinger-Ellison syndrome - only sporadically seen in childhood - is the first differential diagnosis. Therapy of acute ulcer bleeding consists of oversewing and medical prophylaxis of relapse and covers the directions of therapy of Zollinger-Ellison syndrome. Specific therapy of malignant lymphomas including polychemotherapy and radiation isn't possible before end of wound healing.