60 years old female patient presented with acute attack of melena
HGB 5.5
urgent endoscopy was done
Dieulafoy's lesion was found in the duodenum.
Dieulafoy's lesion is a relatively rare, but potentially life-threatening, condition. It accounts for 1–2% of acute gastrointestinal (GI) bleeding, but arguably is under-recognised rather than rare. Its serious nature makes it necessary to include it in the differential diagnosis of obscure GI bleeding.
The stomach is the most common site for Dieulafoy's lesion.
Approximately one-third of lesions are extragastric, most frequently in the duodenum followed by the colon.
Baxter, M., & Aly, E. (2010). Dieulafoy’s lesion: current trends in diagnosis and management. Annals of The Royal College of Surgeons of England, 92(7), 548–554. [ Ссылка ]
Morowitz M, Markowitz R, Kamath B, Allmen D. Dieulafoy's lesion segmental dilatation of the small bowel: an uncommon cause of gastrointestinal bleeding. J Paediatr Surg. 2004;39:1726–8.
Alshumrani G, Almuaikeel M. Angiographic findings and endovascular embolization in Dieulafoy disease: a case report and literature review. Diagn Intervent Radiol. 2006;12:151–4.
