scholarly journals Rectal Dieulafoy’s Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage

2019 ◽  
Vol 13 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Eric Omar Then ◽  
Rani Bijjam ◽  
Andrew Ofosu ◽  
Prashanth Rawla ◽  
Andrea Culliford ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Hemorrhage ◽  
Lower Gastrointestinal Bleeding ◽  
Rare Presentation ◽  
Lower Gastrointestinal Hemorrhage ◽  
Dieulafoy’S Lesion ◽  
Life Threatening ◽  
Submucosal Vessel ◽  
Upper Gastrointestinal

A Dieulafoy’s lesion is defined as a dilated submucosal vessel that erodes the overlying epithelium without evidence of a primary ulcer or erosion. It is a rare cause of gastrointestinal bleeding that is difficult to identify and subsequently manage. Most commonly, they occur in the upper gastrointestinal tract, namely the stomach. A Dieulafoy’s lesion of the rectum, however, is an exceedingly rare presentation that can lead to life-threatening gastrointestinal bleeding. Our case consists of an 84-year-old man, who presented with lower gastrointestinal bleeding secondary to a Dieulafoy’s lesion of the rectum.

scholarly journals Colonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Christopher Ma ◽  
Rajveer Hundal ◽  
Edwin J. Cheng
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Hemorrhage ◽  
Endoscopic Management ◽  
Rare Entity ◽  
Fresh Blood ◽  
Nonvalvular Atrial Fibrillation ◽  
Lower Gastrointestinal Hemorrhage ◽  
Dieulafoy’S Lesion ◽  
Upper Gi ◽  
Life Threatening

Dieulafoy’s lesions are a rare cause of gastrointestinal hemorrhage. Extragastric Dieulafoy’s lesions are even more uncommon. We report the case of a 75-year-old woman who presented with gastrointestinal bleeding from a transverse colonic Dieulafoy’s lesion. She presented with two episodes of melena followed by one episode of fresh blood per rectum. In addition, there was associated presyncope and anemia (hemoglobin 69 g/L) in the setting of supratherapeutic warfarin anticoagulation (INR 6.2) for nonvalvular atrial fibrillation. Esophagogastroduodenoscopy was negative for an upper GI source of bleeding but on colonoscopy an actively oozing Dieulafoy’s lesion was identified in the transverse colon. Bipolar cautery and hemostatic endoclips were applied to achieve hemostasis. Clinicians should consider this rare entity as a potential cause of potentially life-threatening lower gastrointestinal bleeding and we review the endoscopic modalities effective for managing colonic Dieulafoy’s lesions.

scholarly journals Lower gastrointestinal bleeding due to rectal Dieulafoy’s lesion

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774498 ◽  
Author(s):  
Omar N Nadhem ◽  
Omar A Salh ◽  
Omar H Bazzaz
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Female Patient ◽  
Lower Gastrointestinal Bleeding ◽  
Hemoglobin Level ◽  
Upper Gastrointestinal Tract ◽  
Dieulafoy’S Lesion ◽  
Bleeding Per Rectum ◽  
Upper Gastrointestinal

Dieulafoy’s lesion is a relatively rare but serious cause of gastrointestinal bleeding. It usually involves the upper gastrointestinal tract. However, it has recently been reported in different regions of the gastrointestinal tract, including the rectum. Here, we report the case of a female patient who presented with fresh bleeding per rectum for 1 day with low hemoglobin level. Colonoscopy revealed an actively bleeding rectal Dieulafoy’s lesion which was successfully treated with a clip. To our knowledge, there have been few reported cases of lower gastrointestinal bleeding caused by Dieulafoy’s lesion in the rectum.

Diagnosis and Management of Upper Gastrointestinal Tract Bleeding in the Pediatric Patient

1990 ◽  
Vol 12 (4) ◽  
pp. 107-116
Author(s):  
Marvin E. Ament
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Pediatric Patient ◽  
Gastrointestinal Hemorrhage ◽  
Pediatric Population ◽  
Coffee Ground ◽  
Ligament Of Treitz ◽  
Gastrointestinal Tract Bleeding ◽  
Upper Gastrointestinal

Gastrointestinal bleeding in patients at any age is frightening. The fear stems from the knowledge that bleeding, if severe enough and sustained for long intervals, may lead to shock and death. Fortunately, in both pediatric and adult patients, instances in which bleeding is so massive and uncontrollable that it leads to rapid demise are extremely rare. The approach to diagnosis and treatment of gastrointestinal hemorrhage by the physician should be calm, logical, and expeditious to help allay the fears of the patient and family, and to reduce the morbidity associated with the hemorrhage in the event its cause is found to be serious. Fortunately, the causes of gastrointestinal bleeding in the pediatric population are fewer than in adults; accordingly, the differential diagnosis is usually shorter, although not necessarily easier. In contrast to adults, the age of the pediatric patient may play a key role in determining the differential diagnosis. MANIFESTATION OF BLEEDING (Table 1) Before discussing the pathophysiology of bleeding, we will establish definitions of the words frequently associated with gastrointestinal bleeding. Hematemesis is the vomiting of blood. The blood may be either bright red or "coffee ground" in appearance if it has been altered by gastric acid. Hematemesis implies that the site of bleeding is proximal to the ligament of Treitz.

scholarly journals Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Goran Sarafiloski ◽  
Mimi R. Marinova ◽  
Pencho T. Tonchev
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Mucosal Surface ◽  
Upper Gastrointestinal Tract ◽  
Dieulafoy’S Lesion ◽  
Dieulafoy Lesion ◽  
Upper Gastrointestinal ◽  
Clinical Cases

Summary Dieulafoy’s lesion is a rare source of gastrointestinal bleeding. It can be found anywhere in the gastrointestinal tract, but is most commonly seen in the proximal third of the stomach. It is a submucosal artery, adjacent to the mucosal surface, with no evidence of superficial ulcers. Lesions are routinely diagnosed and treated endoscopically. Their frequency is currently not well known, because as Dieulafoy lesions can be easily missed during endoscopy, and bleeding lesions are sometimes misidentified.In this article, we describe two cases of bleeding from the upper gastrointestinal tract, manifested by hematemesis and melena. Bleeding was successfully managed endoscopically by means of injection of adrenaline solution and application of an endoscopic hemoclip.

scholarly journals Rectal Dieulafoy’s Lesion: An Underrecognized Cause of Lower Gastrointestinal Bleeding

2017 ◽  
Vol 08 (04) ◽  
pp. 202-204
Author(s):  
Vipul D. Yagnik
Keyword(s):  
Blood Loss ◽  
Gastrointestinal Bleeding ◽  
Alimentary Tract ◽  
Clinical Presentation ◽  
Lower Gastrointestinal Bleeding ◽  
Hospitalized Patients ◽  
Gi Bleeding ◽  
Dieulafoy’S Lesion ◽  
Threatening Condition ◽  
Life Threatening

ABSTRACTDieulafoy’s lesion is a rare but potentially a life-threatening condition. It accounts for 1%–2% of acute gastrointestinal (GI) bleeding. The lesion is most frequently located in the stomach and may be located anywhere in the alimentary tract. It can be present as severe GI bleeding or chronic GI blood loss. The cause of lesion remains uncertain. The range of clinical presentation varies from acute ill hospitalized patients as well as in the newborn.

scholarly journals Finding the Dieulafoy’s Lesion: A Case of Recurrent Rectal Bleeding in an Immunosuppressed Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Caleb Hudspath ◽  
Dylan Russell ◽  
Ki Eum ◽  
Joel Guess ◽  
Jessica Bunin ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Immunosuppressive Treatment ◽  
Arterial Embolization ◽  
Immunosuppressed Patient ◽  
Vascular Abnormality ◽  
Dieulafoy’S Lesion ◽  
Acute Gastrointestinal Bleeding ◽  
Life Threatening ◽  
Lower Gastrointestinal Bleed

A Dieulafoy’s lesion (DL) is rare cause of acute gastrointestinal bleeding defined as a vascular abnormality of the submucosa. With a high prevalence for the stomach and upper gastrointestinal tract, it is rarely observed in the lower gastrointestinal tract. Its prevalence is rare accounting for less than 2% of all cases of acute gastrointestinal bleeding. The etiology of DL is unknown. Common comorbidities include cardiovascular disease, kidney disease, diabetes, alcohol abuse, liver disease, and chronic NSAID use. Few cases involving chronic steroid use and immunosuppressive treatment have been reported. The most common diagnostic and treatment modality is endoscopy with refractory cases treated with arterial embolization by angiography. We present a case involving a patient with significant comorbidities on chronic immunosuppression with a life-threatening, massive lower gastrointestinal bleed from a DL in the rectum.

Lower gastrointestinal bleeding

2018 ◽  
Vol 11 (3) ◽  
pp. 138-142 ◽  
Author(s):  
Rodrick Babakhanlou
Keyword(s):  
Gastrointestinal Tract ◽  
Clinical Presentation ◽  
Lower Gastrointestinal Bleeding ◽  
Intestinal Bleeding ◽  
Fresh Blood ◽  
Common Causes ◽  
Life Threatening ◽  
Ligament Of Treitz ◽  
The Common ◽  
Upper Gastrointestinal

Lower intestinal bleeding covers a spectrum of intestinal bleeding originating distal to the ligament of Treitz. In 11% of cases, the source of bleeding will be found in the upper gastrointestinal tract. Lower intestinal bleeding can occur either in the form of fresh blood, also known as haematochezia, or in the form of black, tarry and foul-smelling stools, also known as melaena. It can be chronic and mild or severe and life-threatening. This article will focus on the common causes of lower intestinal bleeding, clinical presentation, assessment and management, as well as providing guidance for referral to secondary care.

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