Two Cases of Rectal Dieulafoy's Lesion with Massive Hematochezia in Elderly Patients.
- Author:
Young Wook YOO
1
;
Sung Hee JUNG
;
Ki Woon KANG
;
Si Bum KIM
;
Yong Soo CHO
;
Yun Jung LEE
;
Anna KIM
;
Hyeon Woong YANG
;
Sang Woo CHA
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Eulji University Hospital, Daejeon, Korea. jsh@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Rectum;
Hemoclip
- MeSH:
Aged*;
Arteries;
Colon;
Duodenum;
Esophagus;
Gastrointestinal Hemorrhage*;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Jejunum;
Mucous Membrane;
Necrosis;
Rectum;
Stomach
- From:Journal of the Korean Geriatrics Society
2007;11(1):38-42
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is rare cause of massive gastrointestinal bleeding. Dieulafoy's lesion is understood to represent a tiny submucosal defect with fibrinoid necrosis at its base, overlying a large, tortous, thick-walled artery in the muscularis mucosa. Although the original descriptions and early reports were of lesions in the proximal stomach, similar lesions have subsequently been reported in the esophagus, duodenum, jejunum, colon and rectum. Rectal Dieulafoy's lesion is rare but it is one of the causes of massive hematochezia. We report two cases of rectal Dieulafoy's lesion that was successfully treated with endoscopic hemostasis by clipping in the elderly patients.
