Severe low gastrointestinal bleeding due to Dieulafoy's lesion: A report of two cases and review of literature

Abstract

Massive low gastrointestinal bleeding is an uncommon but severe event. Dieulafoy's lesion is a rare cause of gastrointestinal bleeding but associated with a high mortality rate. In this report, we describe two cases of massive low gastrointestinal bleeding due to Dieulafoy's lesion of the colon who were successfully treated with endoscopic therapy, despite severe bleeding with inadequate bowel preparation. These two cases emphasize the importance of careful endoscopic evaluation to investigate gastrointestinal bleeding and that rare entities should be considered in the differential diagnosis of common clinical presentations.