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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2004

01-02-2004 | Case report

Dieulafoy-like lesion of the colon presenting with massive lower gastrointestinal bleeding

Authors: P. Katsinelos, I. Pilpilidis, G. Paroutoglou, I. Galanis, P. Tsolkas, G. Fotiadis, P. Kapelidis, E. Georgiadou, S. Baltagiannis, S. Dimiropoulos, E. Kamperis, C. Koutras

Published in: Surgical Endoscopy | Issue 2/2004

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Abstract

The Dieulafoy’s lesion is a rare cause of severe gastrointestinal hemorrhage. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. It is characterized by severe bleeding from a minute submucosal arteriole that bleeds through a punctate erosion in an otherwise normal mucosa. We describe an elderly patient who presented with severe lower gastrointestinal bleeding caused by a colonic Dieulafoy-like lesion. This is the third report of colonic Dieulafoy’s lesion treated successfully with endoscopic hemoclipping. We review the pathophysiology, clinical presentation, diagnosis, and treatment of this rare disease.
Literature
1.
Abdulian, JD, Santoro, MJ, Chen, YK, Collen, MJ 1993Dieulafoy-like lesion of the rectum presenting with exsanguinating hemorrhage: successful endoscopic sclerotherapy.Am J Gastroenterol8819391941PubMed
2.
Amaro, R, Petruff, CA, Rogers, AL 1999Rectal Dieulafoy’s lesion: report of a case and review of the literature.Dis Colon Rectum4213391341PubMed
3.
Azimuddin, K, Stasik, JJ, Rosen, L, Riether, RD, Khubchandani, IT 2000Dieulafoy’s lesion of the anal canal: a new clinical entity. Report of two cases.Dis Colon Rectum43423426PubMed
4.
Barbier, P, Luder, P, Triller, J, Ruchti, C, Hassler, H, Stafford, A 1985Colonic haemorrhage from a solitary minute ulcer. Report of three cases.Gastroenterology8810651068PubMed
5.
Bateman, AC, Beer, TW, Bass, PS, Oduruy, A, Gallagher, PJ 1996Massive arterial haemorrhage from the lower gastrointestinal tract.Histopathology29225231PubMed
6.
Dieulafoy, C 1898Exulceratio simplex L’ intervention chirurgicale dans les hémateméses foudroyntes consecutives a l’ exulceration simple de l’ estomac.Bull Acad Natl Med394984
7.
Dy, NM, Gostout, CJ, Balm, RK 1995Bleeding from endoscopically identified Dieulafoy’s lesion of the proximal small intestine and colon.Am J Gastroenterol90108111PubMed
8.
Eidus, LB, Rasuli, P, Manion, D, Heringer, R 1990Caliber persistent artery of the stomach (Dieulafoy’s vascular malformation).Gastroenterology9915071510PubMed
9.
Enns, R 2001Dieulafoy’s lesion of the rectum: a rare cause of lower gastrointestinal bleeding.Can J Gastroenterol15541545PubMed
10.
Ertekin, C, Barbaros, U, Taviloglu, K, Guloglu, R, Kasoglu, A 2002Dieulafoy’s lesion of esophagus.Surg Endosc16219221
11.
Fockens, P, Tytgat, GN 1996Dieulafoy’s disease.Gastroenterol Clin North Am6739752
12.
Gadenstatter, M, Wetscher, G, Crookes, PF, Mason, RJ, Schwab, G, Pointner, R 1998Dieulafoy’s disease of the large and small bowel.J Clin Gastroenterol27169172CrossRefPubMed
13.
Gallard, MT 1984Aneurysmes milliares de l’ estomac, donnant leu à des hematéméses mortelles.Bull Soc Med Hop Paris18491
14.
Goins, WA, Chatman, DM, Kaviani, MJ 1995Massive lower gastrointestinal bleeding due to “Dieulafoy’s vascular malformation” of the jejunum: case report.J Natl Med Assoc87766770PubMed
15.
Goldenberg, SP, De Luca, VJ, Marignani, P 1990Endoscopic treatment of Dieulafoy’s lesion of the duodenum.Am J Gastoenterol85452454
16.
Goldman, RL 1964Submucosal arterial malformation (“aneurysm”) of the stomach with fatal hemorrhage.Gastroenterology46589594PubMed
17.
Guy, RJ, Ang, ES, Tan, KC, Tsang, CB 2001Massive bleeding from a Dieulafoy-like lesion of the rectum in a burns patient.Burns27767769CrossRefPubMed
18.
Kayali, Z, Sangchantr, W, Matsumoto, B 2000Lower gastrointestinal bleeding secondary to Dieulafoy-like lesion of the rectum.J Clin Gastroenterol30328330CrossRefPubMed
19.
Ma, CK, Padda, H, Pace, EH, Szilargyi, E 1989Submucosal arterial malformation of the colon with massive hemorrhage. Report of a case.Dis Colon Rectum32149152PubMed
20.
Nozoe, T, Kitamura, M, Matsumata, T, Sugimachi, K 1999Dieulafoy-like lesions of colon and rectum in patients with chronic renal failure on long-term hemodialysis.Hepatogastroenterology4631213123PubMed
21.
Reilly, HF, Al-Kawas, FH 1991Dieulafoy’s lesion, diagnosis and management.Dig Dis Sci3617021707PubMed
22.
Richards, WO, Grove-Mahoney, D, Williams, LF 1988Hemorrhage from a Dieulafoy type ulcer of the colon: a new cause of lower gastrointestinal bleeding.Am Surg54121124PubMed
23.
Savides, TJ, Jensen, DM 2000Therapeutic endoscopy for nonvariceal gastrointestinal bleeding.Gastroenterol Clin North Am29465487
24.
Schmitt, W, Lux, G, Gield, J 1987Colonic haemorrhage from solitary submucosal vessels diagnosed by lower gastrointestinal Doppler-endoscopy.Endoscopy194345
25.
Schmulewitz, N, Baillie, J 2001Dieulafoy lesion: a review of 6 years of experience at a tertiary referral center.Am J Gastroenerol9616881694
26.
Stark, ME, Gostout, CJ, Balm, RK 1992Clinical features and endoscopic management of Dieulafoy’s disease.Gastrointest Endosc38545550PubMed
27.
Strong, RW 1984Dieulafoy’s disease—a distinct clinical entity.Aust NZ J Surg54337339
28.
Veldhuyzen van Zanten, SJ, Bartelsman, JF, Schipper, ME, Tytgat, GN 1986Recurrent massive hematemesis from Dieulafoy vascular malformations—a review of 101 cases.Gut27213222PubMed
29.
Voth, D 1962Zu pathogenese ungewönlicher arterieler Magenblutungen.Med Welt110951097
Metadata
Title
Dieulafoy-like lesion of the colon presenting with massive lower gastrointestinal bleeding
Authors
P. Katsinelos
I. Pilpilidis
G. Paroutoglou
I. Galanis
P. Tsolkas
G. Fotiadis
P. Kapelidis
E. Georgiadou
S. Baltagiannis
S. Dimiropoulos
E. Kamperis
C. Koutras
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 2/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-4229-6

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