Double Dieulafoy's lesions of the stomach in a patient with chronic renal failure on long-term hemodialysis

Park, Eun-Ho; Jung, Yeon Soon; Moon, Won; Park, Seun Ja; Rim, Hark

doi:10.4318/tjg.2010.0103

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Katsinelos P et al [4] have described double DL in stomach, which was successfully treated with hemoclip placement. Park et al [5] have recently reported a double DL in stomach in a patient with chronic renal failure. Both these lesions were successfully treated with band ligation.…”

Section: Discussionmentioning

confidence: 96%

“…[1] Various endoscopic therapeutic techniques like injection therapy, thermal probes, laser therapy, endoscopic band ligation and hemoclipping have decreased the mortality from bleeding DLs. [1][2][3] Multiple DLs have been rarely reported [4,5] and we report a double DLs in stomach that was successfully treated with endoscopic band ligation.…”

Section: Introductionmentioning

confidence: 90%

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Double gastric dieulafoy′s lesion treated with endoscopic band ligation

Rao

Rana

Appasani

et al. 2013

Journal of Digestive Endoscopy

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Dieulafoy’s lesion is an uncommon cause of non-variceal upper gastrointestinal (GI) bleed. They are commonly seen in stomach and are usually single. Rarely, multiple DLs may cause clinically significant GI bleed. We report a rare case of upper GI bleed due to two DL along the lesser curvature of the stomach. Hemostasis was achieved by endoscopic band ligation. Patient did not have further recurrences and was asymptomatic after 2 years.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 90%

Double gastric dieulafoy′s lesion treated with endoscopic band ligation

Rao

Rana

Appasani

et al. 2013

Journal of Digestive Endoscopy

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The Dieulafoy’s Lesion

Nguyen

Jackson²

2015

Journal of Clinical Gastroenterology

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Dieulafoy's lesion (DL) is a persistently wide caliber artery that is observed more frequently at the fifth decade of life in the male population with multiple comorbidities. There are a variety of endoscopic therapies that have been used to treat DL; however, there are no clear guidelines on the best treatment modality. This article systematically reviews the diagnosis, the most commonly reported therapies of DL, and offers a suggested algorithm based upon efficacy of treatment such as initial hemostasis, rebleeding rates, and mortality.

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Successful laparoscopic cholecystectomy for gallbladder hemorrhage from a Dieulafoy lesion in a patient on hemodialysis: a case report

et al. 2023

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Background Patients on long-term dialysis are prone to hemorrhagic complications, particularly uremic bleeding, but gallbladder hemorrhage is rare, even in patients on dialysis. There have been occasional reports of a Dieulafoy lesion being a cause of gastrointestinal hemorrhage, but its occurrence within the gallbladder is quite rare. This report describes a case of gallbladder hemorrhage from a Dieulafoy lesion in a patient on hemodialysis that was diagnosed early and successfully treated by laparoscopic cholecystectomy. Case presentation The patient was a 68-year-old woman on long-term hemodialysis with end-stage renal failure who presented with epigastralgia and back pain. There was no history of trauma or oral administration of antiplatelet or anticoagulant agents. There were no signs of an inflammatory reaction or hyperbilirubinemia. Contrast-enhanced computed tomography revealed a slightly hyperdense area in the distended gallbladder and extravasation within the gallbladder lumen but no gallstones. A severe atherosclerotic lesion was also found. She was diagnosed to have gallbladder hemorrhage and emergency laparoscopic cholecystectomy was performed. Although the postoperative course was complicated by drug fever, she was discharged on postoperative day 10 in a satisfactory condition. Histology revealed hemorrhagic ulceration with an exposed blood vessel accompanied by abnormal arteries in the submucosa. Arteriosclerosis with eccentric intimal hyperplasia in a small-sized artery was also seen. The diagnosis was gallbladder hemorrhage from a Dieulafoy lesion. Conclusions A Dieulafoy lesion should be kept in mind as a cause of gallbladder hemorrhage in a patient with severe arteriosclerosis and a bleeding diathesis, particularly if on dialysis, and treated as early as possible.

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Double Dieulafoy's lesions of the stomach in a patient with chronic renal failure on long-term hemodialysis

Cited by 3 publications

References 18 publications

Double gastric dieulafoy′s lesion treated with endoscopic band ligation

Double gastric dieulafoy′s lesion treated with endoscopic band ligation

The Dieulafoy’s Lesion

Successful laparoscopic cholecystectomy for gallbladder hemorrhage from a Dieulafoy lesion in a patient on hemodialysis: a case report

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