A rare upper gastrointestinal bleeding cause: Dieulafoy lesion
Ufuk Arslan1, Refik Bademci2, Ersan Eroğlu2, Özlem Öndeş Bayar3, Nergis Ekmen4, Levent Erdem4
1Okmeydanı Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği, İstanbul, Türkiye
2İstanbul Bilim Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye
3Şereflikoçhisar Devlet Hastanesi, Genel Cerrahi Kliniği, Ankara, Türkiye
4İstanbul Bilim Üniversitesi Tıp Fakültesi Gastroenteroloji Kliniği, İstanbul, Türkiye
Keywords: Dieulafoy lesion; endoscopy; gastrointestinal bleeding.
Abstract
One of the rare cause of upper gastrointestinal tract bleeding is Dieulafoy lesion. These lesions may lead life threatening massive bleeding. Endoscopy is used for diagnose and treatment in routine basis. Although this vascular anomaly is generally seen on the proximal part of stomach, it can seen on esophagus, small bowel and colon, as well. Dieulafoy lesion is generally protrusive vascular lesion on the mucosal surface of the stomach. This lesion has a clot on it, in novel cases. In the treatment endoscopic procedures should be applied at first-line, if it doesn’t work, the patient must undergo for a surgery. Herein, a 25-year-old male patient with Dieulafoy lesion has reported, caused massive upper gastrointestinal bleeding, which underwent surgery.