Dieulafoy of cecum: A rare cause of a refractory gastrointestinal bleeding in an uncommon location

Saraireh, Hamzeh; Hanayneh, Muhannad Al; Salameh, Habeeb; Parupudi, Sreeram

doi:10.1016/j.dld.2017.05.004

Cited by 5 publications

(8 citation statements)

References 10 publications

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“…Of these, two were effectively managed with clipping, while one was managed with cautery and epinephrine injection. The two cases managed with clips had no re-bleeding at six and 48 months, respectively; there is no data on the other case [6][7][8].…”

Section: Discussionmentioning

confidence: 91%

An Unusual Cause of Lower Gastrointestinal Bleeding: Cecal Dieulafoy's Lesion

Dailey

Russell

Sterling

2020

Cureus

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Colonic Dieulafoy's lesions are an exceptionally rare cause of lower gastrointestinal (GI) bleeding. These lesions are almost exclusively found in the upper GI tract based on previous reviews. We present a case of an 81-year-old man who presented with melena progressing to hematochezia and was found to have a cecal Dieulafoy's lesion on colonoscopy. Hemostasis with clipping was achieved and allowed for the resumption of anticoagulation. This case demonstrates the importance of considering this diagnosis in lower GI bleeding when evidence of more common causes may not be present, especially considering these lesions amenability to endoscopic therapy.

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Section: Discussionmentioning

confidence: 91%

An Unusual Cause of Lower Gastrointestinal Bleeding: Cecal Dieulafoy's Lesion

Dailey

Russell

Sterling

2020

Cureus

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Section: Discussionmentioning

confidence: 99%

“…Various treatment approaches have been used for bleeding hemostasis, including epinephrine injection, sclerotherapy, thermal coagulation, and mechanical therapy with band ligation or endoclipping [ 4 ]. Angiographic embolization can also be used for refractory cases while surgical resection is reserved only as a last resort [ 4 ]. Endoscopic clipping has been considered ideal for colonic Dieulafoy lesions with better hemostatic effects, reduced risk of rebleeding, and decreased complication risk [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…A Dieulafoy lesion is defined as an aberrant dilated submucosal artery that erodes the overlying mucosal barrier without any mucosal ulceration [ 1 , 2 ]. First explained by Gallard in 1884 and named by a French surgeon Dieulafoy in 1898, they are responsible for 1-2% of acute gastrointestinal (GI) bleeding and can cause significant morbidity and mortality [ 1 - 4 ]. In the GI tract, they are mostly found in the stomach (70%) and the esophagus (15%).…”

Section: Introductionmentioning

confidence: 99%

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Dieulafoy Lesion of the Colon: A Rare Finding During Colonoscopy

Khan¹,

Niaz²,

Singh³

et al. 2022

Cureus

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Dieulafoy lesions are common dilated submucosal vessels that can present with gastrointestinal (GI) bleeding. These lesions are usually found in the stomach or esophagus and colonic Dieulafoy lesions are very rare. Clinical presentation can vary from mild non-threatening GI bleeding to massive and recurrent hemorrhage. Here, we discuss a case of a 71-year-old female patient who presented with a bright red bleed per rectum. Colonoscopy was performed, which revealed a bleeding Dieulafoy lesion in the descending colon with clotted blood in the transverse and descending colon. In this article, we will also review the literature related to the epidemiology, clinical presentation, diagnosis, and management of Dieulafoy lesions.

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“…Colonic lesions are mostly in the rectum (42%), followed by the ascending colon (17%) and cecum (17%) [ 7 , 8 ]. Dieulafoy’s ulcer often affects the elderly and men, occurring at a median age of 54 years with no familial predisposition [ 9 ]. The etiology is considered to involve congenital factors such as vascular malformation, but anticoagulants and antiplatelet drugs and atherosclerotic diseases such as hypertension, diabetes, liver cirrhosis, and chronic kidney disease have been reported as factors potentially contributing to formation of Dieulafoy’s lesions [ 10 – 14 ].…”

Section: Discussionmentioning

confidence: 99%

A case of the lower gastrointestinal bleeding due to Dieulafoy’s ulcer in the cecum

Kinoshita

Matsunari

Sonoda

et al. 2020

Clin J Gastroenterol

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Gastrointestinal Dieulafoy's ulcer is a rare disease of unknown etiology. Dieulafoy's ulcer often presents in the stomach and is thought to cause about 5% of all gastrointestinal bleeds in adults, but can be found in any part of the gastrointestinal tract. Dieulafoy's ulcer corresponds to an arterial malformation in the submucosal space and can cause life-threatening hemorrhage. We report a case of the lower gastrointestinal bleeding from a cecal Dieulafoy's ulcer that was successfully treated with endoscopic clips. An 82-year-old woman had been diagnosed with hypertension and cerebral infarction. She had been using aspirin to prevent recurrent infarction. She was admitted to our hospital with hematochezia. Urgent colonoscopy revealed a small, reddish vascular malformation in the cecum. The lesion was suggestive of Dieulafoy's ulcer and was treated with endoscopic clips. The patient has since been discharged from our hospital without experiencing any further bleeding. Endoscopy is a useful method for diagnosing and treating Dieulafoy's ulcer.

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Dieulafoy of cecum: A rare cause of a refractory gastrointestinal bleeding in an uncommon location

Cited by 5 publications

References 10 publications

An Unusual Cause of Lower Gastrointestinal Bleeding: Cecal Dieulafoy's Lesion

An Unusual Cause of Lower Gastrointestinal Bleeding: Cecal Dieulafoy's Lesion

Dieulafoy Lesion of the Colon: A Rare Finding During Colonoscopy

A case of the lower gastrointestinal bleeding due to Dieulafoy’s ulcer in the cecum

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