Dieulafoy's Lesion: A Rare Location for Gastrointestinal Hemorrhage

Year 2017, Volume: 8 Issue: 3 , 62 - 63 , 01.07.2017

Cansu Alyeşil İbrahim Ulaş Özturan Nurettin Özgür Doğan

https://izlik.org/JA79GH65JK

Abstract

-

Keywords

-

Dieulafoy's Lesion: A Rare Location for Gastrointestinal Hemorrhage

https://izlik.org/JA79GH65JK

Abstract

Introduction: Dieulafoy’s lesion is a rare and potentially life-threatening cause of gastrointestinal bleeding. Although relatively uncommon, Dieulafoy’s lesion can cause massive upper gastointestinal bleeding, especially in elderly patients. Case Report: We report a case of Dieuolafoy’s lesion located in the esophageal diverticulum, which is a very rare location for the lesion. Emergency esophagogastroduodenoscopy was performed, and according to results, there was active bleeding in the distal esophageal diverticulum-Dieulafoy’s lesion (Forrest IA). Conclusion: We concluded that emergency physicians should be aware that Dieulafoy’s lesion is an uncommon and potentially life-threatening cause of upper gastointestinal bleeding among elderly patients. Early diagnosis and intervention through emergency endoscopy can be very effective and life saving

Keywords

Dieulafoy’s lesion , gastrointestinal hemorrhage , emergency department

References

• Jairath V, Desborough MJ. Modern-day management of upper gastro- intestinal haemorrhage. Transfus Med 2015; 25: 351-7. [CrossRef ]
• Larson G, Schmidt T, Gott J, Bond S, O'Connor CA, Richardson JD. Upper gas- trointestinal bleeding: predictors of outcome. Surgery 1986; 100: 765-73.
• Stark ME, Gostout CJ, Balm RK. Clinical features and endoscopic man- agement of Dieulafoy's disease. Gastrointest Endosc 1992; 38: 545-50. [CrossRef ]
• Garg R. Bleeding from a gastric Dieulafoy lesion. Emerg Med J 2007; 24: 520. [CrossRef ]
• Ljubicic N. Efficacy of endoscopic clipping and long-term follow-up of bleeding Dieulafoy's lesions in the upper gastrointestinal tract. Hepato- gastroenterology 2006; 53: 224-7.
• 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.
• Turan I, Ozturk A, Akarca U, Ozutemiz O. An unusual cause of massive up- per gastrointestinal bleeding: Dieulafoy's lesion within a giant midesopha- geal diverticulum. Endoscopy 2008; 40 Suppl 2: E177. [CrossRef ] 63