Chronic gastrointestinal bleeding caused by a Dieulafoy's lesion in the small intestine: a case report
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Published on: August 21, 2017
Javad Salimi1, Mohamad Behzadi2, Alireza Ramandi1,3
1Vascular Surgery Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Introduction:
Dieulafoy's lesion, first found by Paul Georges Dieulafoy, is an infrequent but important cause of recurrent upper gastrointestinal bleeding. The bleeding is usually severe, but patients rarely present with chronic, occult gastrointestinal bleeding.
Case Presentation:
In this article, we discuss the case of a 68-year-old caucasian man with a history of recurrent hematemesis and chronic anemia with evidence of extravasation of contrast in the lumen of the bowel loop on computed tomography angiography. The patient was taken to the operating room, and a laparotomy procedure was performed.
Conclusion:
Due to the infrequency of Dieulafoy's lesion compared with other causes of gastrointestinal bleeding, it is often missed in the process of differential diagnosis. In this article, we have demonstrated the importance of this disease and different approaches to the treatment of this lesion, considering the location of the lesion among other factors.
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