Dieulafoy lesions: Rare but often overdiagnosed? Observations based upon a case of small bowel haemorrhage and a critical review of the literature

Mansfield, G.; Sabharwal, Raghu; Bansi, Devinder S.; Cohen, Patrizia; El-Masry, Nabil S.; Jackson, James E.

doi:10.1016/j.crad.2010.12.023

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…A Dieulafoy lesion (DL) is a large, caliber-persistent submucosal artery with a diameter of 1-3 mm. It is located in close proximity to the mucosal surface and is subject to injury and consequent bleeding [1][2][3]. The literature reveals that isolated DLs most commonly occur either in the bronchial tree or the gastrointestinal (GI) tract [1].…”

Section: Introductionmentioning

confidence: 99%

“…It is located in close proximity to the mucosal surface and is subject to injury and consequent bleeding [1][2][3]. The literature reveals that isolated DLs most commonly occur either in the bronchial tree or the gastrointestinal (GI) tract [1]. The latter most commonly involves the stomach (75%-95% of cases), especially within 6 cm of the gastroesophageal junction [1].…”

Section: Introductionmentioning

confidence: 99%

“…The literature reveals that isolated DLs most commonly occur either in the bronchial tree or the gastrointestinal (GI) tract [1]. The latter most commonly involves the stomach (75%-95% of cases), especially within 6 cm of the gastroesophageal junction [1]. Arterial supply of this region comes directly from the branches of the left gastric artery [4].…”

Section: Introductionmentioning

confidence: 99%

“…DLs account for 6% of all causes of upper GI hemorrhage [1]. Patients mostly present with acute, massive, intermittent painless melenic stools and hematemesis [5,7].…”

Section: Introductionmentioning

confidence: 99%

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A Tale of Three Dieulafoy Lesions: A Case Report and Review of the Literature

Amarnath

Ghimire

Khan

2020

Cureus

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A Dieulafoy lesion (DL) is a rare cause of non-variceal upper gastrointestinal hemorrhage. It is a large submucosal artery that lies in close proximity to the mucosal surface without any evidence overlying superficial ulcers. DLs can be found anywhere within the gastrointestinal (GI) tract, but are frequently encountered within the stomach. Most cases documented in the literature only describe isolated, single DLs occurring within the GI tract. Herein, we describe an unusual case of an elderly female with a medical history of compensated alcoholic liver cirrhosis who presented with massive hematemesis and endoscopy unveiled three DLs within the gastric cardia as the source of hemorrhage. The bleeding was successfully managed using novel endoscopic modalities such as Hemospray (Cook Medical, Bloomington, IN). We also provide an updated literature review on the diagnosis, pathophysiology as well as recent advances in the management of DLs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…DLs account for 6% of all causes of upper GI hemorrhage [1]. Patients mostly present with acute, massive, intermittent painless melenic stools and hematemesis [5,7].…”

Section: Introductionmentioning

confidence: 99%

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