A case of massive lower gastrointestinal bleeding from a rectal Dieulafoy lesion

Publication date: Available online 7 April 2015 Source:Advances in Digestive Medicine Author(s): Yuan-Kai Lee , Ming-Jong Bair , Huan-Lin Chen , I-Tsung Lin , Chia-Hsien Wu A Dieulafoy lesion is an uncommon and sometimes life-threatening cause of gastrointestinal hemorrhage. Typically, it presents as a tiny mucosal defect with an exposed protruding artery with normal surrounding mucosa. An 84-year-old woman developed sudden massive hematochezia and had an unstable hemodynamic status. The source of bleeding was found to be an exposed vessel in the rectum without surrounding ulceration. The patient was treated successfully with an epinephrine injection given endoscopically, followed by hemostatic clipping.
Source: Advances in Digestive Medicine - Category: Gastroenterology Source Type: research