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Dieulafoy disease: arteriographic findings and treatment
J D Durham1, D A Kumpe, L J Rothbarth
1Department of Radiology, University of Colorado Health Sciences Center, Denver 80262.
Insights
Dieulafoy disease, a rare cause of severe gastrointestinal bleeding from eroded arteries, requires prompt diagnosis. Early identification and intervention, such as embolization or surgical ligation, are crucial for managing this condition.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Dieulafoy disease is an uncommon cause of massive gastrointestinal hemorrhage.
- It involves erosion of a submucosal artery, typically in the proximal stomach.
Abstract:
Dieulafoy disease is an unusual cause of massive and frequently fatal gastrointestinal tract hemorrhage that results from the erosion of a submucosal artery. Although the lesion has been found throughout the gastrointestinal tract, it most commonly occurs in the proximal stomach. Nine patients with this condition have been treated at the authors' institution during the past 5 years. The bleeding lesion was located before surgery with selective visceral arteriography in three patients. Rapid extravasation was demonstrated from an eroded but otherwise normal-appearing artery in all three cases. Hemorrhage was controlled successfully in one patient with selective embolization of the involved left gastric artery branch. The remaining eight patients were treated with surgical ligation.