Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy.
- Author:
Young Chul CHOI
1
;
Sang Hyun PARK
;
Byoung Wook BANG
;
Kye Sook KWON
;
Hyung Gil KIM
;
Yong Woon SHIN
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. bangbu@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Gastrointestinal hemorrhage;
Ileum;
Dieulafoy lesion;
Single balloon enteroscopy
- MeSH:
Endoscopy;
Gastrointestinal Hemorrhage;
Hemorrhage;
Ileum;
Mucous Membrane
- From:Clinical Endoscopy
2012;45(4):440-443
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches including enteroscopy have recently been performed for small bowel bleeding. We report two cases of massive ileal Dieulafoy lesion bleeding diagnosed and treated successfully by single balloon enteroscopy with a review of the literature.