Adult small bowel Dieulafoy lesion

Abstract

A 47 year old woman presented with melaena and haemodynamic instability. Preliminary investigations failed to locate the source of bleeding. At laparotomy an arteriovenous malformation was identified in the distal ileum. Histology revealed this to be of the Dieulafoy type. This is the first published case of a histologically proved ileal Dieulafoy lesion in an adult. (Postgrad Med J 2001;77:783-784)

Ileal Dieulafoy Lesion in a Patient with Glanzmann Thrombasthenia Presented with Hematochezia

“…3 There have been fewer than 20 cases reported in the literature to date. [5][6][7][8][9][10] Despite its rarity, DL should always be considered in the differential diagnosis of lower GIH. Endoscopy has advanced in recent years and endoscopic treatment is very successful in terms of achieving hemostasis.…”

Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy

“…Most of them were treated surgically and diagnosed with histology 14-16. However, endoscopic treatment will replace surgery in a significant portion of small bowel Dieulafoy lesion cases.…”