A Case of Gastrointestinal Bleeding Caused by Dieulafoy-like Lesions of the Stomach and Rectum in a Patient with Chronic Renal Failure / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 146-150, 2004.
Article
in Ko
| WPRIM
| ID: wpr-34270
Responsible library:
WPRO
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Arteries
/
Rectum
/
Rupture
/
Stomach
/
Ulcer
/
Melena
/
Follow-Up Studies
/
Colon
/
Duodenum
/
Hemorrhage
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
Language:
Ko
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2004
Document type:
Article