A Case of Gastrointestinal Bleeding Caused by Dieulafoy-like Lesions of the Stomach and Rectum in a Patient with Chronic Renal Failure.
- Author:
Chul Hyun LIM
1
;
Young Seok CHO
;
Hyun Jin KIM
;
Sung Jin MOON
;
Seung Woo LEE
;
Chee Ho NOH
;
Dong Il SHIN
;
Jong Hyun PARK
;
Chang Whan KIM
;
Sung Soo KIM
;
Young Ok KIM
;
Sun Ae YOON
;
Hiun Suk CHAE
;
Chang Don LEE
;
Kyu Yong CHOI
;
In Sik CHUNG
Author Information
1. Department of Internal Medicine College of Medicine The Catholic University of Korea, Seoul, Korea. yscho@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Dieulafoy-like lesion;
Gastrointestinal bleeding;
Chronic renal failure
- MeSH:
Aged;
Arteries;
Colon;
Duodenum;
Female;
Follow-Up Studies;
Hemorrhage*;
Humans;
Kidney Failure, Chronic*;
Ligation;
Melena;
Rectum*;
Rupture;
Stomach*;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(3):146-150
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is a very rare cause of gastrointestinal bleeding that occurs after rupture of an exposed submucosal artery. The majority of lesions are found in the stomach, but rarely it has also been identified in the duodenum, small bowel, colon and rectum. We describe a 78-year-old female with chronic renal failure who presented with melena and was subsequently found to have a Dieufaloy-like lesion in the stomach. The bleeding was successfully managed by endoscopic hemoclipping. During the follow-up, massive gastrointestinal bleeding was developed by a Dieulafoy-like lesion in the rectum. This lesion was managed by endoscopic band ligation, but there was recurrent bleeding from the ulcer site. The ulcer site was locally excised and primary closure was carried out.
