A Case of Transparent Cap-fitted Endoscopic Hemoclipping on a Bleeding Dieulafoy's Lesion in the Ampulla of Vater.
- Author:
Hoon Sup KOO
1
;
Yong Seok KIM
;
Gwang Il KIM
;
Jung Kyung YANG
;
Seung Min KIM
;
Sang Yeol CHEON
;
Je Hyung SUN
;
Sun Moon KIM
Author Information
1. Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. stonedrag@hanmail.net
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Ampulla of Vater;
Gastrointestinal bleeding;
Endoscopic hemoclipping
- MeSH:
Ampulla of Vater;
Arterioles;
Esophagogastric Junction;
Esophagus;
Hemorrhage;
Rectum;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(1):45-48
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is a rare cause of repetitive and massive gastrointestinal bleeding, and this is characterized by an isolated arteriole protruding through a small mucosal defect. Dieulafoy's lesion is generally found in the stomach within 6 cm of the gastroesophageal junction, and usually on the lesser curvature, but many lesions have been reported in extragastric locations, including the esophagus, small bowel and rectum. A Dieulafoy's lesion in the ampulla of Vater is extremely rare, and only one such case has been reported in the Korean population. We experienced a rare case of Dieulafoy's lesion in the ampulla of Vater with massive pulsatile bleeding, and this was successfully treated by transparent cap-assisted endoscopic hemoclipping. We report here on this case with a review of the relevant literature.
