A Case of Dieulafoy's Lesion of the Terminal Ileum Treated by Colonoscopic Electrocoagulation.
- Author:
Yong Sik KIM
1
;
Rok Son CHOUNG
;
Kyoung Oh KIM
;
Dong Wook KOH
;
Young Jig CHO
;
Hyo Jung KIM
;
Yoon Hong KIM
;
Jae Seon KIM
;
Young Tae BAK
;
Chang Hong LEE
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. kimjs@kumc.or.kr
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Terminal ileum;
Electrocoagulation
- MeSH:
Arteries;
Colon;
Electrocoagulation*;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Humans;
Ileum*;
Mucous Membrane;
Necrosis;
Rectum;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(6):499-502
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is an uncommon source of massive gastrointestinal hemorrhage and is understood to represent a tiny submucosal defect with fibrinoid necrosis at its base, overlying a large, tortuous, thick-walled artery in the muscularis mucosa. The lesion predominantly occurs in the proximal stomach, but may occur in all parts of the gastrointestinal tract including small bowel, colon and rectum. Moreover, Dieulafoy's lesion of the terminal ileum is very rare. We herein report a case of a patient who presented with massive hematochezia from Dieulafoy's lesion of the terminal ileum which was successfully controlled with endoscopic treatment by utilizing electrocoagulation.
