Dieulafoy Lesion of the Colon: A Rare Finding During Colonoscopy

Khan, Sohaib A.; Niaz, Saleha; Singh, Rajiv K.; Lucas, Stéphanie; Calcagno, Christopher

doi:10.7759/cureus.25188

Cited by 2 publications

(3 citation statements)

References 9 publications

(16 reference statements)

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“…This suggests these lesions are likely acquired defects; however, there is little data to support this hypothesis [5]. The diagnosis can be challenging due to the presence of diverticula, bleeding cessation prior to diagnostic endoscopy, and difficulty locating the lesion in the setting of poor bowel prep [7][8][9]. The lesions present with acute, painless, severe hematemesis, melena, and/or hematochezia, with 51% presenting with hematemesis and melena.…”

Section: Discussionmentioning

confidence: 99%

Rare Colonic Dieulafoy Lesions: A Case Series

Jhanji,

Lovingood,

Oelsner

et al. 2024

Cureus

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Dieulafoy lesions (DLs) are infrequent causes of gastrointestinal bleeding (GIB) but can cause hemorrhage with a high risk of re-bleeds. They are most noted in the stomach, but this case series of three colonic DLs highlights even more rare causes of lower GIB. Three patients presented with blood loss and were found to have colonic DLs. All of them had esophagogastroduodenoscopies (EGDs) that were unremarkable, and they subsequently underwent a colonoscopy, which then showed oozing DLs. First, a 63-year-old woman had a week of maroon-colored stools but no use of blood thinners, prior GIB, or peptic ulcers. Next, an 81-year-old man presented with dyspnea and had a two-week history of melena. Three years later, he presented with two oozing lesions on a colonoscopy, which likely indicated a repeat DL. This was followed by multiple admissions for GIB. The lesions in these two cases were treated with epinephrine and hemostatic clips. Lastly, a 49-year-old man presented with hematochezia leading to shock, requiring transfusions, vasopressors, and ICU care. Computed tomography angiography (CTA) showed intraluminal contrast extraversion in the ascending colon, leading to interventional radiology (IR)-guided coil for suspected DL. Diagnosis can be hard, but early identification through endoscopy can help decrease mortality rates. Therefore, it is crucial to keep this on the list of differential diagnoses in cases with no other identifiable sources to allow for timely management.

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Section: Discussionmentioning

confidence: 99%

Rare Colonic Dieulafoy Lesions: A Case Series

Jhanji,

Lovingood,

Oelsner

et al. 2024

Cureus

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“…These lesions are typically present in the upper gastrointestinal tract, and extragastric Dieulafoy lesions are extremely rare [ 1 ]. It is diagnosed endoscopically, as our case shows: densely adherent blood clots and active bleeding from a minute mucosal defect; in the quiescent phase: the mucosal defect is extremely small, with normal surrounding mucosa and no inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…Dieulafoy lesions are an uncommon and potentially serious gastrointestinal bleeding disease. They account for about 1-2% of gastrointestinal bleeding, 80% of which are located in the upper gastrointestinal tract and less than 2% in the colorectum [ 1 ]. Lower gastrointestinal bleeding caused by a transverse colonic Dieulafoy lesion is extremely rare [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal Bleeding From a Transverse Colon Dieulafoy Lesion

Xie,

Qin,

et al. 2023

Cureus

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Dieulafoy lesions are an extremely rare disease that can cause gastrointestinal bleeding and colon bleeding. Lower gastrointestinal bleeding caused by a transverse colonic Dieulafoy lesion is extremely rare. This study describes the case of a 68-year-old woman who took oral rivaroxaban for atrial fibrillation and presented with massive lower gastrointestinal bleeding associated with a rare transverse colonic Dieulafoy lesion. Hemostasis was successfully achieved by thermal coagulation and the application of endoscopic hemoclips. Lastly, we reviewed previous literature on the diagnosis and treatment of colonic Dieulafoy disease.

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Dieulafoy Lesion of the Colon: A Rare Finding During Colonoscopy

Cited by 2 publications

References 9 publications

Rare Colonic Dieulafoy Lesions: A Case Series

Rare Colonic Dieulafoy Lesions: A Case Series

Gastrointestinal Bleeding From a Transverse Colon Dieulafoy Lesion

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