Rectal Dieulafoy Lesion Managed by Hemostatic Clips
Author(s) -
Hyung Hun Kim,
Joo Hoon Kim,
Sung Eun Kim,
Seun Ja Park,
Moo In Park,
Won Moon
Publication year - 2012
Publication title -
journal of clinical medicine research
Language(s) - English
Resource type - Journals
eISSN - 1918-3011
pISSN - 1918-3003
DOI - 10.4021/jocmr945w
Subject(s) - medicine , hemostasis , lesion , colonoscopy , clipping (morphology) , clips , rectum , surgery , artery , radiology , colorectal cancer , cancer , linguistics , philosophy
The classic Dieulafoy lesion is a minute gastric mucosal defect which bleeds massively from an exposed artery. The typical endoscopic appearance of this lesion is a single, round mucosal defect with an artery protruding from its base in the absence of surrounding ulceration. We encountered an 89-year-old man who developed sudden massive fresh rectal bleeding. The source of hemorrhage was found at colonoscopy after careful irrigation and inspection to be a Dieulafoy lesion situated in rectum. Hemostasis was achieved successfully with epinephrine injection and endoscopic hemostatic clipping.
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