The Dieulafoy’s Lesion

Nguyen, David C; Jackson, Christian S.

doi:10.1097/mcg.0000000000000321

Cited by 26 publications

(34 citation statements)

References 113 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As in other causes of non-variceal bleeding, there is superiority of combined, thermal and mechanical methods over injection monotherapy[6]. Endoscopic treatment achieves an initial hemostasis rate > 93.6% of cases, with a rebleeding rate of 12.1%, including cases of RDL[7,8]. A prospective study demonstrated superiority of mechanical endoscopic treatment with hemoclips or band ligation versus injection with diluted adrenaline[9].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of massive rectal bleeding from a Dieulafoy's lesion: Case report

Paz

Rosario-Morel

Lopez-Fuentes

et al. 2019

WJGE

View full text Add to dashboard Cite

BACKGROUND Rectal Dieulafoy's lesions (DLs) are very rare; however, they can be life threatening when presented with massive hemorrhage. CASE SUMMARY A 44-year-old female with medical history of chronic renal failure who was on renal replacement therapy presented with lower gastrointestinal hemorrhage. Physical examination revealed signs of hypovolemic shock and massive rectal bleeding. Complete blood count revealed abrupt decrease in hematocrit. After hemodynamic stabilization, an urgent colonoscopy was performed. A rectal DL was diagnosed, and it was successfully treated with two hemoclips. There were no signs of recurrent bleeding at thirty days of follow-up. CONCLUSION Rectal DLs represent an unusual cause of lower gastrointestinal bleeding. Massive hemorrhage can increase the morbidity and mortality of these patients. Endoscopic management continues to be the reference standard in the diagnosis and therapy of these lesions. Thermal, mechanical (hemoclip or band ligation), or combination therapy (adrenaline injection combined with thermal or mechanical therapy) should be considered the first choice for treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic management of massive rectal bleeding from a Dieulafoy's lesion: Case report

Paz

Rosario-Morel

Lopez-Fuentes

et al. 2019

WJGE

View full text Add to dashboard Cite

show abstract

“…Since the bleeding is arterial, the amount of blood lost is usually massive. Depending upon the location of bleeding and the amount, the manifestations can range from iron deficiency anemia to life-threatening hemorrhagic shock 9 , which has been reported to occur in up to 87 % of patients with DL 10 .…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy’s lesion of the rectum: a case report and review of the literature

Wang¹,

Bu²,

Zhang³

et al. 2017

Endosc Int Open

View full text Add to dashboard Cite

One patient with Dieulafoy’s lesion (DL) of the rectum who had a history of anal receptive intercourse is described and the relevant literature reviewed. DL is rare in clinical practice and is extremely rare in the rectum. It often affects patients with no history of cirrhosis or gastrointestinal disease and occurs with abrupt or recurrent gastrointestinal bleeding. Visible vessels can usually be found by endoscopy and coinstantaneous treatments are essential while surgical interventions can occur when necessary. The diagnosis of DL is mainly based on clinical manifestations and endoscopic features, and endoscopic treatment is the first option for hemostasis.

show abstract

“…Although there is no consensus on the best techniques to treat DL, GI endoscopy is a vital tool [ 7 , 8 ]. The common endoscopic treatment for DL associated GI bleeding include thermal probe, regional injection of epinephrine and mechanical methods [ 9 – 11 ].…”

Section: Discussionmentioning

confidence: 99%

Life-threatening bleeding from gastric dieulafoy’s lesion in a pregnant woman with hellp syndrome: a case report and literature review

et al. 2017

View full text Add to dashboard Cite

BackgroundDieulafoy’s lesion (DL) is one of the rare causes of upper gastrointestional bleeding. This disease is characterized by small sub-mucosal arteriole that eroded the stomach mucosa and cause severe upper GI bleeding without obvious ulceration. The most common location is fundus area of stomach and usually affects patients over 50 years of age with multiple comorbidities.Case presentationWe report a case of life-threatening bleeding from DL during late pregnancy 31 weeks. Hemoclips were used twice through upper endoscopy with successful hemostasis. Unfortunately, she developed HELLP syndrome diagnosed 5 days after the GI bleeding was stopped. Her pregnancy had to be terminated with delivery of a premature infant. She recovered from her illness and discharged from hospital uneventfully. There is no current report in literature of DL in pregnant woman subsequently suffered HELLP syndrome.ConclusionEndoscopic hemoclip application is an effective technique in the treatment of upper GI bleeding from DL. For this patient, laparoscopic surgery or combination therapy before pregnancy may have been a suitable treatment on preventing rebleeding.

show abstract

The Dieulafoy’s Lesion

Cited by 26 publications

References 113 publications

Endoscopic management of massive rectal bleeding from a Dieulafoy's lesion: Case report

Endoscopic management of massive rectal bleeding from a Dieulafoy's lesion: Case report

Dieulafoy’s lesion of the rectum: a case report and review of the literature

Life-threatening bleeding from gastric dieulafoy’s lesion in a pregnant woman with hellp syndrome: a case report and literature review

Contact Info

Product

Resources

About