A Dieulafoy's Lesion of the Rectum Treated by Endoscopic Band Ligation: A case report.
- Author:
Kyoung Hee KWEON
1
;
Mi Ryeong SIM
;
Sang Jae RHEE
;
Sang Wook KIM
;
Geom Seog SEO
;
Tae Hyeon KIM
;
Suck Chei CHOI
;
Yong Ho NAH
Author Information
1. Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. kth@wmc.wonkang.ac.kr
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Rectum;
Endoscopic ligation
- MeSH:
Aged;
Arteries;
Diagnosis;
Endoscopy;
Epinephrine;
Female;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Ligation*;
Rectum*;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(2):112-115
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Dieulafoy's lesion is an unusual cause of gastrointestinal hemorrhage that results from the erosion of abnormally large submucosal artery. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. Lower GI bleeding from Dieulafoy- like lesion of rectum is very rare. We describe one patient with extragastric Dieulafoy's disease, in the rectum. Diagnosis was made by endoscopy. Recently, endoscopy is important in the treatment of Dieulafoy-like lesion of rectum including epinephrine injection and coagulation therapy. We treated with the endoscopic management using ligation technique. We report a case that the 65-year old women had a extragastric Dieulafoy's lesion on the rectum, treated by endoscopic ligation with O-ring.