A Rare Cause of Lower Gastrointestinal Bleeding: Rectal Dieulafoy’s Lesion

Year 2024, Volume: 23 Issue: 2, 76 - 77, 27.08.2024

Bünyamin Sarıtaş , Deha Çetin , Mustafa Harı , Şehmus Ölmez

https://doi.org/10.17941/agd.1509362

Abstract

Dieulafoy’s lesion is rare cause of life-threatening gastrointestinal bleeding. Mortality is high if not early diagnosed and treated properly. Thus, it must be excluded and treated in patients with GIB as fast as possible. These lesions are usually observed in upper gastrointestinal system and mostly in the stomach. It is very rare in rectum. Here we report a rare case of lower gastrointestinal bleeding caused by rectal Dieulafoy’s lesion.

Keywords

Rectum, Dieulafoy’s lesion, bleeding, treatment

Alt Gastrointestinal Kanamanın Nadir Bir Nedeni: Rektal Dieulafoy Lezyonu

Abstract

Dieulafoy lezyonu hayatı tehdit eden gastrointestinal kanamanın nadir bir nedenidir. Erken tanı konulup uygun şekilde tedavi edilmezse mortalite yüksektir. Bu nedenle, gastrointestinal kanaması olan hastalarda mümkün olduğunca çabuk dışlanmalı ve tedavi edilmelidir. Bu lezyonlar genellikle üst gastrointestinal sistemde ve çoğunlukla midede görülür. Rektumda çok nadirdir. Burada rektal Dieulafoy lezyonunun neden olduğu nadir bir alt gastrointestinal kanama olgusu sunulmuştur.

Keywords

Rektum, Dieulafoy lezyonu, kanama, tedavi

References

• 1. Baxter M, Aly EH. Dieulafoy's lesion: current trends in diagnosis and management. Ann R Coll Surg Engl. 2010;92(7):548-54.
• 2. Massinha P, Cunha I, Tomé L. Dieulafoy Lesion: Predictive Factors of Early Relapse and Long-Term Follow-Up. GE Port J Gastroenterol. 2020;27(4):237-243.
• 3. Chakinala RC, Solanki S, Haq KF, et al. Dieulafoy's Lesion: Decade-Long Trends in Hospitalizations, Demographic Disparity, and Outcomes. Cureus. 2020;12(7):e9170.
• 4. Nojkov B, Cappell MS. Gastrointestinal bleeding from Dieulafoy's lesion: Clinical presentation, endoscopic findings, and endoscopic therapy. World J Gastrointest Endosc. 2015;7(4):295-307.
• 5. Inayat F, Hussain A, Yahya S, et al. Rectal Dieulafoy's lesion: a comprehensive review of patient characteristics, presentation patterns, diagnosis, management, and clinical outcomes. Transl Gastroenterol Hepatol. 2022;7:10.
• 6. Barakat M, Hamed A, Shady A, Homsi M, Eskaros S. Endoscopic band ligation versus endoscopic hemoclip placement for Dieulafoy's lesion: a meta-analysis. Eur J Gastroenterol Hepatol. 2018;30(9):995-996.
• 7. Kinoshita K, Matsunari O, Sonoda A, et al. A case of the lower gastrointestinal bleeding due to Dieulafoy's ulcer in the cecum. Clin J Gastroenterol. 2020;13(4):564-567.