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

Abstract

-

Keywords

-

Dieulafoy's Lesion: A Rare Location for Gastrointestinal Hemorrhage

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