Bleeding from Dieulafoy's Vascular Malformation of the Proximal Ileum: A case report .
- Author:
Hee Jung KIM
;
Jun Keun JUNG
;
Young Min SUH
;
Kyung Sook KIM
;
Hoguen KIM
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Gastrointestinal bleeding;
Ileum
- MeSH:
Adult;
Arteries;
Barium;
Colon;
Dizziness;
Emergencies;
Esophagogastric Junction;
Female;
Hematemesis;
Hemorrhage*;
Humans;
Hypertrophy;
Ileum*;
Intestine, Small;
Stomach;
Thrombosis;
Vascular Malformations*;
Vomiting
- From:Korean Journal of Pathology
1999;33(12):1207-1210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's vascular malformation is a rare cause of massive gastrointestinal bleeding. Most often it occurs in stomach within 6 cm from the gastroesophageal junction. Only a few cases have been reported to occur in the small intestine and colon. Occasionally, Dieulafoy's lesion of small intestine is difficult to recognize because of rarity, a paucity of symptoms and negative findings on barium studies. Therefore, this lesion needs to be considered in a patient with massive lower gastrointestinal bleeding. We report a case of Dieulafoy's vascular malformation in ileum 2 m proximal to ileocecal value in a 41-year-old woman who visited emergency clinic because of hematemesis, dizziness and vomiting. Small intestine revealed a wide-caliber artery within the submucosa showing intimal thickening, medial muscular hypertrophy and thrombosis.
