A Dieulafoy-like Lesion of the Rectum as a Cause of Massive Lower G-I Bleeding.
- Author:
Sang Heum PARK
1
;
Moon Ho LEE
;
Hong Soo KIM
;
Jin Woo LEE
;
Sun Joo KIM
;
Il Kwun CHUNG
;
Ki Hyun SEO
;
In Seob CHUNG
;
Sang Hun SONG
;
Heon Kyeu HWANG
;
Hung Sok OH
Author Information
1. Department of Internal Medicine, College of Medicine Soon Chun Hang University, Chunan, Korea.
- Publication Type:Original Article
- Keywords:
Dieulafoy;
Massive hematochezia;
Rectum
- MeSH:
Aged;
Alcoholics;
Arteries;
Child;
Colon;
Duodenum;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Jejunum;
Male;
Rectum*;
Sclerotherapy;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(3):454-459
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is an exposed submucosal artery associated with a minute mucosal defect in the stomach, and it is a rare cause of profuse, but intermittent gastrointestinal bleeding. Less commonly, similar lesions have been identified in the duodenum, jejunum, colon, and in rare cases, the rectum. Only four cases of rectal Dieulafoy's lesion have been reported in English Medical literature: one case involved a child, two in otherwise healthy young men, and one in on elderly man. In this report, two elderly men are described, who suffered an massive hematochezia from a small rectal mucosal defect with a visible vessel. Control of the bleeding was successfully achieved with on endoscopic sclerotherapy or hemoclipping. The fact that rectal Dieulafoy disease is one of the causes of massive hematochezia should serve as a reminder in future cases, especially involving alcoholics and elderly men.
