Double Dieulafoy-like lesion in the stomach

Surg Endosc. 2003 Aug;17(8):1324. doi: 10.1007/s00464-003-4200-6. Epub 2003 Jun 13.

Abstract

Dieulafoy's lesion is an uncommon cause of major gastrointestinal bleeding and may be difficult to recognize. It consists of an arteriole that protrudes through a tiny mucosal defect usually within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. Despite widespread awareness of this entity, it remains a diagnostic challenge for gastroenterologists because of its small size and hidden location. Emergency endoscopy is the most effective method of diagnosing the disease. We report a patient, with double Dieulafoy-like lesion, who was successfully treated endoscopically using hemostatic clip application. The characteristics of the Dieulafoy's lesion, its current diagnosis, and its treatment are discussed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arterioles / abnormalities
  • Congenital Abnormalities / diagnosis
  • Emergencies
  • Gastric Fundus / pathology
  • Gastric Mucosa / abnormalities*
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery
  • Gastroscopy*
  • Hemostasis, Surgical / instrumentation
  • Hemostasis, Surgical / methods*
  • Humans
  • Male
  • Melena / etiology
  • Surgical Instruments