A rare cause of recurrent lower gastrointestinal hemorrhage due to a rectosigmoid Dieulafoy's lesion

被引:0
作者
Wifi, Mohamed-Naguib [1 ]
Abdellatef, Abeer [1 ]
Lasheen, Amr Maged [2 ]
机构
[1] Cairo Univ, Kasr Al Ainy Sch Med, Dept Internal Med, Hepatogastroenterol Unit, Cairo, Egypt
[2] Sharm El Sheikh Int Hosp, Gastroenterol Dept, Sharm El Sheikh, Egypt
关键词
Hematochezia; Dieulafoy's lesions; Hemoclips;
D O I
10.1186/s43162-023-00231-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundColonic Dieulafoy's lesions (DLs) are an extremely rare cause of acute gastrointestinal bleeding. However, it could be presented from self-limiting, mild bleeding episodes up to recurrent, massive life-threatening hemorrhage.Case presentationWe present a case of 9-year-old female with recurrent attacks of hematochezia. The colonoscopy showed actively bleeding Dieulafoy's lesions at the rectosigmoid colon that was successfully managed endoscopically by the application of two hemoclips.ConclusionA prompt and accurate diagnosis in patients with a Dieulafoy's lesion carries paramount importance. A meticulous examination and proper resuscitation are a must because massive, uncontrolled bleeding from this lesion may culminate in the death of the patient fairly quickly.
引用
收藏
页数:4
相关论文
共 11 条
[1]   Dieulafoy's lesion: current trends in diagnosis and management [J].
Baxter, M. ;
Aly, E. H. .
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 2010, 92 (07) :548-554
[2]   Dieulafoy's disease [J].
Chaer, RA ;
Helton, WS .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2003, 196 (02) :290-296
[3]  
Fukita Yosho, 2013, BMJ Case Rep, V2013, DOI 10.1136/bcr-2013-009734
[4]   Rectal Dieulafoy's lesion: a comprehensive review of patient characteristics, presentation patterns, diagnosis, management, and clinical outcomes [J].
Inayat, Faisal ;
Hussain, Amna ;
Yahya, Sidra ;
Weissman, Simcha ;
Sarfraz, Nuraiz ;
Faisal, Muhammad Salman ;
Riaz, Iqra ;
Saleem, Saad ;
Saif, Muhammad Wasif .
TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY, 2022, 7
[5]  
Inayat Faisal, 2018, BMJ Case Rep, V2018, DOI 10.1136/bcr-2017-223246
[6]  
Inayat Faisal, 2017, BMJ Case Rep, V2017, DOI 10.1136/bcr-2017-220431
[7]  
Jain R, 2009, ARCH PATHOL LAB MED, V133, P1865, DOI 10.1043/1543-2165-133.11.1865
[8]   Colonic Dieulafoy's Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management [J].
Ma, Christopher ;
Hundal, Rajveer ;
Cheng, Edwin J. .
CASE REPORTS IN GASTROINTESTINAL MEDICINE, 2014, 2014
[9]   Gastrointestinal bleeding from Dieulafoy's lesion: Clinical presentation, endoscopic findings, and endoscopic therapy [J].
Nojkov, Borko ;
Cappell, Mitchell S. .
WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2015, 7 (04) :295-307
[10]   Lower gastrointestinal bleeding from Dieulafoy's lesion in the transverse colon [J].
Sudo, Gota ;
Takagi, Hideyasu ;
Nakase, Hiroshi .
DIGESTIVE ENDOSCOPY, 2021, 33 (04) :E56-E57