Dieulafoy's lesion in the cecum: A rare case report presentation

Ribeiro, Ana; Silva, Sílvia da; Reis, Rui Almeida; Romero, Inês; Costa, Susana; Silva, João Barros da

doi:10.1016/j.ijscr.2021.106157

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…This search yielded only 11 relevant articles consisting of 13 cases. [6][7][8][9][10][11][12][13][14][15][16] Only 3/13 cases were reported prior to 2000, which may signify increased awareness of Dieulafoy lesions as a rare cause of GI bleed (Table 1). Our case was similar to all 13 cases, which showed an average age of 67.9 ± 17.9 years and a male predominance (64.3%).…”

Section: Discussionmentioning

confidence: 99%

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Saha,

Takkellapati,

Beckman

2023

SAGE Open Medical Case Reports

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Dieulafoy lesions are a rare but life-threatening cause of gastrointestinal bleeding. Colonic Dieulafoy lesions are exceptionally rare, comprising only 2% of these lesions. We present a case of cecal Dieulafoy lesion as an unusual cause of lower gastrointestinal bleeding—along with hemoptysis. An 81-year-old male with pulmonary hypertension presented with a one-day history of hematochezia. He subsequently developed new small-volume hemoptysis/hematemesis with increasing oxygen requirements. Bronchoscopy revealed old blood in the left lower lobe, with no active bleeding. The hemoptysis was attributed to severe pulmonary hypertension. Colonoscopy revealed a 2-mm cecal Dieulafoy lesion with spurting bleeding, which was clipped. We report a rare case of cecal Dieulafoy lesion with only 13 other published cases. Our case was complicated by hemoptysis creating an interesting diagnostic dilemma. In patients bleeding from both oral and anal orifices, a brisk upper gastrointestinal bleed—as well as independent causes involving the gastrointestinal and respiratory tracts—should be considered.

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Section: Discussionmentioning

confidence: 99%

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Saha,

Takkellapati,

Beckman

2023

SAGE Open Medical Case Reports

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“…Although most cases of Dieulafoy's lesion are reported in the stomach, it can occur in other parts of the gastrointestinal tract. A Dieulafoy's lesion has been described in the esophagus, small intestine, colon, or rectum ( 10 ). Men are affected approximately two times as often as women, and the lesion can occur at any age ( 10 – 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…A Dieulafoy's lesion has been described in the esophagus, small intestine, colon, or rectum ( 10 ). Men are affected approximately two times as often as women, and the lesion can occur at any age ( 10 – 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Antemortem diagnosis of Dieulafoy's lesion is often made via upper GI endoscopy in 70% of the cases. However, lesions can be missed if they are small, not actively bleeding, or obscured by large amounts of blood in the lumen ( 10 , 11 ). The use of endoscopy as a diagnostic tool has dramatically decreased the reported mortality from 80 to 8.3% reported in a study ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: The first description of a Dieulafoy's lesion in the gastric mucosa of a dog

et al. 2022

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An approximately 12-year-old, 31 kg, male neutered Labrador Retriever was presented to the referring hospital with an acute onset (less than 1 day) of hematemesis and melena. The dog was treated supportively for a presumptive gastric ulcer for 4 days with intravenous fluids, gastro protectants, such as pantoprazole, misoprostol, sucralfate, and barium, as well as an anti-emetic (maropitant) and analgesics (fentanyl, gabapentin, and tramadol). Throughout medical management, the dog continued to require blood transfusions approximately every 24 h. Given the poor medical response, the patient was subjected to an exploratory laparotomy. During surgery, a grossly raised, blister-like lesion on the mucosal surface of the stomach was appreciated on the lesser curvature of the stomach. A partial gastrectomy was performed, and the segment was submitted for histological evaluation. Histologically, there were multiple, tortuous, medium-caliber muscular arteries (>1.0 mm in diameter) in the submucosa. A single large-caliber artery (>0.75 mm in diameter) containing a partially occlusive thrombus extruded through the mucosa and projected on the ulcerated surface. The patient's signs were similar clinically and histopathologically to Dieulafoy's lesion in people. A Dieulafoy's lesion is a potentially life-threatening disorder that causes gastrointestinal (GI) hemorrhage. This lesion is characterized by a dilated, large-caliber, aberrant submucosal artery that erodes through the epithelium and ruptures, resulting in massive and potentially fatal hemorrhage. This lesion has never been documented previously in a dog.

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Uremic Bleeding in 2 Patients with Dieulafoy&#8217;s Lesion: Case Report and Literature Review

Valdez,

García,

Escamilla

et al. 2024

OJGas

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Dieulafoy's lesions are rare vascular malformations of the gastrointestinal tract. A Dieulafoy's lesion is an aberrant vessel that does not reduce in caliber when it extends from the submucosa to the mucosa. Damage to this artery can cause severe and intermittent arterial bleeding from small vascular stumps that are difficult to visualize. Furthermore, these catastrophic bleeding episodes frequently result in hemodynamic instability and the need for transfusion of multiple blood products. Recently, uremic syndrome has been identified as a risk factor for gastric mucosal lesions. We present two clinical cases of acute digestive bleeding due to Dielafoy lesion with chronic kidney disease as the main cause, where two different therapies were performed endoscopically. We concluded with the results of our patients that the best therapy was the application of the hemostatic hemoclip on the injury vs the injection with adrenaline on the wound site. Uremia is identified as a risk factor for upper gastrointestinal bleeding in patients with pre-existing Dieulafoy's lesion, as well as a higher incidence of new bleeding.

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Dieulafoy's lesion in the cecum: A rare case report presentation

Cited by 3 publications

References 17 publications

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Case report: The first description of a Dieulafoy's lesion in the gastric mucosa of a dog

Uremic Bleeding in 2 Patients with Dieulafoy&#8217;s Lesion: Case Report and Literature Review

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Dieulafoy's lesion in the cecum: A rare case report presentation

Cited by 3 publications

References 17 publications

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Cecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report

Case report: The first description of a Dieulafoy's lesion in the gastric mucosa of a dog

Uremic Bleeding in 2 Patients with Dieulafoy&amp;#8217;s Lesion: Case Report and Literature Review

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Uremic Bleeding in 2 Patients with Dieulafoy’s Lesion: Case Report and Literature Review