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Dieulafoy lesions and gastrointestinal bleeding
Carissa Teresa Rodriguez1, Joseph Scott H Bittle2, Thomas James Kwarcinski2
1College of Medicine, Texas A&M Health Science Center, Dallas, Texas.
Proceedings (Baylor University. Medical Center)
|October 26, 2020
Summary
A Dieulafoy lesion, a submucosal artery causing massive gastrointestinal bleeding, can be fatal if untreated. This case highlights successful diagnosis and treatment via embolization.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Dieulafoy lesions are rare vascular abnormalities in the gastrointestinal tract.
- These lesions can cause life-threatening hemorrhage, with high mortality rates if untreated.
- Early diagnosis and intervention are crucial for patient survival.
Observation:
- A 70-year-old woman presented with abdominal pain.
- Computed tomography angiography revealed a submucosal gastric vascular structure.
- Esophagogastroduodenoscopy confirmed a Dieulafoy lesion in the stomach.
Findings:
- The Dieulafoy lesion was successfully identified and localized.
- Transarterial embolization was performed via mesenteric angiography.
- The patient received successful outpatient treatment for the gastric Dieulafoy lesion.
Implications:
- This case demonstrates the effectiveness of advanced imaging and endovascular techniques in managing Dieulafoy lesions.
- Timely diagnosis and minimally invasive treatment can prevent mortality associated with gastrointestinal bleeding from Dieulafoy lesions.
- Highlights the importance of considering Dieulafoy lesions in patients with unexplained gastrointestinal bleeding.
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