Open AccessRole of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
Author(s) -
Divyesh Dadhania,
Jineesh Valakkada,
Anoop Ayyappan,
Santhosh Kumar Kannath
Publication year - 2021
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20210117
Subject(s) - medicine , bleed , lesion , endoscopy , radiology , therapeutic endoscopy , stomach , target lesion , surgery , percutaneous coronary intervention , myocardial infarction
Dieulafoy’s lesion is an uncommon cause of life-threatening gastrointestinal bleed from a dilated and tortuous submucosal artery. With the advent of endoscopy-guided intervention, the mortality of the condition has reduced significantly from 80 to 8%. Imaging plays a vital role in diagnosing them in endoscopically negative cases. Endovascular management can also be offered for unidentified lesions or failed endoscopic treatment. We report a middle-aged male with acute hematemesis where endoscopy was unable to reveal the source of the bleed. Contrast CT detected the lesion, which was embolised by endovascular route. The clinical details, imaging appearance and treatment of this uncommon lesion is presented.