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A case of "exulceratio simplex" (Dieulafoy)
The Japanese Journal of Surgery
|March 1, 1980
Summary
Exulceratio simplex, a rare cause of gastrointestinal bleeding, involves erosion of submucosal arteries in the stomach. This case highlights massive arterial hemorrhage from small mucosal defects.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Exulceratio simplex (Es) is a rare condition characterized by superficial gastric erosions.
- It can lead to significant gastrointestinal bleeding, often from arterial sources.
Observation:
- A case of Exulceratio simplex was reported in the fundus of the stomach.
- The condition involved fair-sized arteries located in the submucosal layer.
Findings:
- Massive arterial hemorrhage occurred due to erosion of these submucosal arteries.
- The erosion was caused by two small mucosal defects.
Implications:
- This case underscores the potential for severe bleeding from seemingly small gastric lesions.
- Understanding the vascular anatomy involved in Exulceratio simplex is crucial for diagnosis and management.