An unusual cause of hemorrhagic shock: gastric Dieulafoy’s lesion

Year 2019, Volume: 5 Issue: 1, 189 - 192, 04.01.2019

Ahmet Erdoğan Murat Ferhat Ferhatoğlu , Hikmet Pehlevan , Osman Yıldırım Kazım Şenol

https://doi.org/10.18621/eurj.384720

Abstract

Dieulafoy's
lesion (DL) related massive gastrointestinal bleeding is a rare and mortal
health condition. DL is a superficial vascular lesion of the gastric mucose
that is mostly located in the proximal part of the stomach which is difficult
to diagnose. Endoscopy is a safe and effective method for diagnosis and
treatment. However, emergency surgery should be essential for diagnosis and
treatment. Here we present a succesfull clinical and surgical
management of a case with massive gastrointestinal bleeding
related to gastric DL.

Keywords

Dieulafoy’s lesion, hemorrhagia, shock

References

• [1] Baxter M, Aly EH. Dieulafoy's lesion: current trends in diagnosis and management. Ann R Coll Surg Eng 2010;92:548-54.
• [2] Norton ID, Petersen BT, Sorbi D, Balm RK, Alexander GL, Gostout CJ. Management and long-term prognosis of Dieulafoy lesion. Gastrointest Endosc 1999;50:762-7.
• [3] Chaer RA, Helton WS. Dieulafoy's disease. J Am Coll Surg 2003;196:290-6. .
• [4] Veldhuyzen van Zanten SJ, Bartelsman JF, Schipper ME, Tytgat GN. Recurrent massive haematemesis from Dieulafoy vascular malformations--a review of 101 cases. Gut 1986;27:213-22.
• [5] al-Mishlab T, Amin AM, Ellul JP. Dieulafoy's lesion: an obscure cause of GI bleeding. J R Coll Surg of Edinb 1999;44:222-5.
• [6] Strong RW. Dieulafoy's disease--a distinct clinical entity. Aust N Z J Surg 1984;54:337-9.
• [7] Romaozinho JM, Pontes JM, Lerias C, Ferreira M, Freitas D. Dieulafoy's lesion: management and long-term outcome. Endoscopy 2004;36:416-20.
• [8] Lee YT, Walmsley RS, Leong RW, Sung JJ. Dieulafoy's lesion. Gastrointest Endosc 2003;58:236-43.
• [9] Jamanca-Poma Y, Velasco-Guardado A, Pinero-Perez C, Calderon-Begazo R, Umana-Mejia J, Geijo-Martinez F, et al. Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy's lesion. World J Gastroenterol 2012;18):5734-8.
• [10] Alshumrani G, Almuaikeel M. Angiographic findings and endovascular embolization in Dieulafoy disease: a case report and literature review. Diagn Interv Radiol 2006;12:151-4.
• [11] Ding YJ, Zhao L, Liu J, Luo HS. Clinical and endoscopic analysis of gastric Dieulafoy's lesion. World J Gastroenterol 2010;16:631-5.
• [12] Beyazit Y, Dişibeyaz S, Suvak B, Purnak T, Torun S, Parlak E. [Evaluation of treatment results among patients with acute gastrointestinal bleeding due to Dieulafoy’s lesion admitted to the emergency department] Ulus Travma Acil Cerrahi Derg 2013;19:133-9. [Article in Turkish]
• [13] Hoffman A, Kunert A, Lahat A, Volkov A, Zmora O, Rosin D. Laparoscopic resection of gastric Dieulafoy lesion following preoperative tattooing. Isr Med Assoc J 2011;13:187-8.
• [14] Sai Prasad TR, Lim KH, Lim KH, Yap TL. Bleeding jejunal Dieulafoy pseudopolyp: capsule endoscopic detection and laparoscopic-assisted resection. J Laparoendosc Adv Surg Tech A 2007;17:509-12.