scholarly journals Rectal Dieulafoy Lesions: A Rare Etiology of Chronic Lower Gastrointestinal Bleeding

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ugur Dogan ◽  
Ismail Gomceli ◽  
Umit Koc ◽  
Mani Habibi ◽  
Nurullah Bulbuller
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Endoscopic Appearance ◽  
Mucosal Defect ◽  
Arterial Bleeding ◽  
Life Threatening ◽  
Massive Rectal Bleeding ◽  
Dieulafoy Lesion

Dieulafoy lesion is rarely seen, yet it can be life-threatening. This lesion makes up to 1-2% of gastrointestinal bleedings and must definitely be considered in gastrointestinal bleedings whose source cannot be identified. In this case study, the 75-year-old woman was suffering from active, fresh, and massive rectal bleeding. Colonoscopy was applied in order to find out the source of bleeding. In the typical endoscopic appearance of the lesion a single round mucosal defect in the rectum and arterial bleeding were observed. To procure hemostasis, epinephrine was injected into the lesion and the bleeding vein was sutured.

scholarly journals Dieulafoy Lesion of Ileum: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 64-66
Author(s):  
Prakash Poudel ◽  
Ramesh Dhakwa
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Definitive Diagnosis ◽  
Gi Bleeding ◽  
Mucosal Defect ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Dieulafoy Lesion

Dieulafoy lesion is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). A 31 yearold male presented with complaints of hematochezia. Preliminary investigations failed to locate the exact source of bleed. Enteroscopy suggested distal ileal bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.5 cm was identified in distal ileum. 30 cm of ileum along with mesentery was resected. Histology revealed it to be Dieulafoy lesion. Dieulafoy lesion is uncommon but one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. This lesion is difficult to identify and high index of suspicion is required to make diagnosis. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology.

scholarly journals A Case Report on Life-Threatening Lower Gastrointestinal Bleeding: A Rare Presentation of Mucinous Adenocarcinoma of the Appendix

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
H. W. T. D. Wijayaratne ◽  
K. J. A. Fernando ◽  
T. Matheeshan
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Mucinous Adenocarcinoma ◽  
Right Hemicolectomy ◽  
Lower Gastrointestinal Bleeding ◽  
Haemodynamic Instability ◽  
Endoscopic Evaluation ◽  
Ct Angiogram ◽  
Contrast Enhanced Ct ◽  
Life Threatening

Introduction. A life-threatening lower gastrointestinal bleeding from mucinous adenocarcinoma of the appendix is a rare occurrence. Diagnosing and management of such a condition are challenging. Case Presentation. A 73-year-old male with a history of type 2 diabetes mellitus and hypertension presented with intermittent per rectal bleeding for two weeks, which progressed to the passage of a large number of blood clots and fresh blood. He had features of class III shock on admission. An endoscopic evaluation followed initial resuscitation to locate the source of bleeding. Colonoscopy revealed a large blood clot at the opening of the appendicular orifice with no active bleeding. Oesophagoduodenoscopy, contrast-enhanced CT abdomen, and CT angiogram findings were unremarkable. Due to repeated episodes of rebleeding leading to haemodynamic instability, an exploratory laparotomy was performed. A retrocaecal appendix was noticed with a macroscopically suspicious-looking dilated tip adhered to the posterior caecal wall. Right hemicolectomy was performed as the lesion was suspicious and to stop bleeding from the site. Ileocolic side-to-side hand-sewn anastomosis was performed using 3/0 polyglactin. Postoperatively, per rectal bleeding was settled. Microscopy revealed appendiceal mucinous adenocarcinoma with AJCC staging of pT3NoMx. The patient was discharged on postoperative day seven and referred to oncological management. He was offered six cycles of chemotherapy with capecitabine and oxaliplatin. At the six-month follow-up visit, the patient had no features of recurrence clinically. Conclusion. Mucinous adenocarcinoma of the appendix can rarely present as life-threatening lower GI bleeding. Prompt resuscitation, endoscopic evaluation, and operative management with right hemicolectomy and chemotherapy provided a good outcome.

Rectal Bleeding in Prader-Willi Syndrome

PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. 265-267
Author(s):  
SANGEETA A. BHARGAVA ◽  
PHILIP E. PUTNAM ◽  
SAMUEL A. KOCOSHIS ◽  
MARC ROWE ◽  
JEANNE M. HANCHETT
Keyword(s):  
Inflammatory Bowel Disease ◽  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Bowel Disease ◽  
Lower Gastrointestinal Bleeding ◽  
Prader Willi Syndrome ◽  
Anorectal Disease ◽  
Skin Picking ◽  
Inflammatory Bowel

Individuals with Prader-Willi syndrome manifest severe skin picking behavior. We report three patients with this syndrome in whom an extension of this behavior to rectal picking resulted in significant lower gastrointestinal bleeding and anorectal disease. The recognition of this behavior is important to avoid misdiagnosing inflammatory bowel disease in this group of patients.

scholarly journals Dieulafoy lesion in the colon: a rare cause of lower gastrointestinal bleeding

Endoscopy ◽  
2020 ◽  
Author(s):  
José L. Paccos ◽  
Natália S. Mukai ◽  
Paulo A. F. P. Correa ◽  
Fernando P. Marson ◽  
Fernando L. Mota ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Dieulafoy Lesion

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

2015 ◽  
Vol 2 (3) ◽  
pp. 108-110 ◽  
Author(s):  
Yuan-Kai Lee ◽  
Ming-Jong Bair ◽  
Huan-Lin Chen ◽  
I-Tsung Lin ◽  
Chia-Hsien Wu
Keyword(s):  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Dieulafoy Lesion

Acute Lower Gastrointestinal Bleeding from a Dieulafoy lesion: Three Case Reports and a Literature Review

2012 ◽  
Vol 107 ◽  
pp. S493
Author(s):  
Naveen Anand ◽  
Michael Bass ◽  
Pierre Hindy ◽  
Veronika Dubrovskaya ◽  
Adam Goodman ◽  
...  
Keyword(s):  
Literature Review ◽  
Gastrointestinal Bleeding ◽  
Case Reports ◽  
Lower Gastrointestinal Bleeding ◽  
Dieulafoy Lesion

scholarly journals Atypical Presentation of Colonic Diverticular Disease

2021 ◽  
Vol 33 (1) ◽  
pp. 94-98
Author(s):  
Refaya Tasnim ◽  
Nawsabah Noor ◽  
Quazi Tarikul Islam
Keyword(s):  
Gastrointestinal Bleeding ◽  
Diverticular Disease ◽  
Lower Gastrointestinal Bleeding ◽  
Common Finding ◽  
Fresh Blood ◽  
Colonic Diverticulosis ◽  
Infectious Colitis ◽  
Colonic Neoplasia ◽  
Life Threatening ◽  
Colonic Diverticular Disease

Hematochezia or passage of fresh blood per rectum is a relatively common finding in medical practice which mostly indicates lower gastrointestinal bleeding. The causes for lower gastrointestinal bleeding include diverticular disease, vascular ectasia, ischemic, inflammatory or infectious colitis, colonic neoplasia, hemorrhoids, anal fissures and small bowel lesions (Crohn’s disease, Vascularectasia, Meckel’s diverticulum).If a patient comes with severe hematochezia, the first and foremost task is to stabilize the patient and then find out the source of bleeding as soon as possible. Elderly patients presenting with severe hematochezia, is most likely due to colorectal malignancy but benign causes like colonic diverticulosis can also present as life threatening bleeding in rare occasions. Here we report a case of 70-years-old male patient presenting with severe painless hematochezia leading to severe anemia due to diverticulosis. Bangladesh J Medicine July 2022; 33(1) : 94-98

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