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[Dieulafoy's lesion].

I Lebovitch, S Lelcuk, O Kaplan

    Harefuah
    |November 15, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Dieulafoy

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Dieulafoy's lesion, a rare cause of massive upper gastrointestinal bleeding, involves an abnormal submucosal artery.
    • First described in 1884, its characteristics were detailed by surgeon Dieulafoy 24 years later.

    Observation:

    • The lesion typically presents as a protruding, tortuous artery within normal gastric mucosa, often on the posterior wall near the cardia.
    • Preoperative diagnosis is challenging, leading to frequent misdiagnosis and overlooked lesions during surgery.

    Findings:

    • A case report details a 30-year-old patient undergoing surgery for upper gastrointestinal bleeding due to this condition.
    • Surgical intervention, including wedge resection or oversewing, remains the primary treatment modality.

    Implications:

    • Delayed diagnosis and treatment of Dieulafoy's lesion can result in recurrent bleeding and necessitate repeat surgeries.
    • Improved diagnostic techniques and surgical approaches are crucial for managing this rare but potentially life-threatening condition.