Rare case of upper gastrointestinal bleeding: Dieulafoy' s lesion of duodenum. A case report

Annals of Medicine and Surgery
Pessia BeatricePietroletti Renato

Abstract

Dieulafoy's lesion is an uncommon but important cause of recurrent upper gastrointestinal bleeding. Extragastric location of Dieulafoy's lesion is rare. We report a case of haemorrhagic shock due to delafoy ulcer of the duodenum. After the failure of endoscopic haemostatic treatment, and due to the hemodynamic instability, the patient was not a candidate for transarterial embolization, the emergency surgery was needed to stop the bleeding. Using minimally invasive technique, we were able to avoid radical surgery, in critical patient would have high mortality rate. Aggressive endoscopic examinations combined with the accurate treatment endoscopic, or after the failure of this, in cases of severe hemorrhagic shock, surgical approach should be adopted when Dieulafoy-like lesion is suspected as a possible cause of upper GI haemorrhage.

References

Feb 22, 2003·Journal of the American College of Surgeons·Rabih A Chaer, W Scott Helton
Dec 2, 2009·The Korean Journal of Internal Medicine·Won LimGeun Am Song
Apr 23, 2015·World Journal of Gastrointestinal Endoscopy·Borko Nojkov, Mitchell S Cappell
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Citations

Dec 29, 2020·BMJ Case Reports·Saravana Kumar RajanthranFirdaus Hayati
Sep 10, 2021·BMJ Case Reports·Genesis Perez Del NogalKalyan Chakrala

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