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[Gastrointestinal vascular malformation]

V L Pannain1, C M Avila, J C Luvizuto

  • 1Hospital Universitário Clementino Fraga Filho, Departamento de Patologia, Universidade Federal do Rio de Janeiro-UFRJ.

Arquivos De Gastroenterologia
|April 1, 1993
PubMed
Summary

Dieulafoy's disease, a rare vascular malformation, causes severe gastrointestinal bleeding. This report details two cases, highlighting the need for increased awareness to reduce mortality.

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Area of Science:

  • Gastroenterology
  • Vascular Malformations
  • Digestive Diseases

Background:

  • Dieulafoy's disease, first described in 1898, is characterized by a prominent submucosal artery.
  • This vascular anomaly is a recognized cause of severe, acute gastrointestinal hemorrhage.

Observation:

  • This report presents two distinct cases of Dieulafoy's disease.
  • One case involved the stomach, while the second occurred in the jejunum.

Findings:

  • Dieulafoy's disease involves a tortuous, large artery in the gastric submucosa.
  • A defect overlying the artery leads to significant digestive bleeding.

Implications:

  • Increased recognition and reporting of Dieulafoy's disease are crucial.
  • Enhanced understanding may improve diagnostic accuracy and patient outcomes.
  • Reducing mortality associated with this condition is a key objective.

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