UPPER GASTROINTESTINAL BLEEDING DUE TO DIEULAFOY'S LESION OF THE STOMACH: A RARE CASE REPORT

被引：1

作者：

Al-Busaidi, Alsalt ^{[1
]}

Alomairi, Jaifar ^{[1
]}

Alabri, Omer ^{[1
]}

Alwheibi, Eissa ^{[1
]}

Almaghadari, Alazhar ^{[1
]}

Kadom, Mhmod R. ^{[1
]}

O'Connell, P. Ronan ^{[2
]}

机构：

[1] Royal Coll Surgeons Ireland, Sch Med, Dublin, Ireland

[2] Univ Coll Dublin, Surg, Dublin, Ireland

来源：

EXCLI JOURNAL | 2023年 / 22卷

关键词：

Dieulafoy's lesion; exulceratio simplex; upper gastrointestinal bleeding; hematemesis; pulsatile bleeding; ENDOSCOPIC MANAGEMENT; INJECTION;

D O I：

10.17179/excli2023-6407

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Dieulafoy's lesion is a life-threatening and rare vascular malformation of the submucosal vessel that protrudes to the mucosa of the gastrointestinal tract. The vessel is abnormally dilated, and if it ruptures, it can cause severe acute gastrointestinal bleeding. We report an upper GI bleeding case due to Dieulafoy's lesion in the gastric fundus of the stomach in a 76-year-old female. The patient presented with hematemesis and melena associated with anemia. An esophagogastroduodenoscopy (OGD) was performed which showed profuse pulsatile bleeding at the gastric fundus. Following that, gastrotomy confirmed the diagnosis of Dieulafoy's lesion. Endoscopy is the main diagnostic and therapeutic tool for Dieulafoy's lesion. Endoscopic treatment includes injective, ablative and mechanical therapies. The majority of cases are treated endoscopically, while in some cases, surgical intervention is deemed to be necessary as it is currently the only definitive treatment of Dieulafoy's lesion.

引用

页码：862 / 866

页数：5

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