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Case report on colonic Dieulafoys lesion: A rare cause of lower gastrointestinal hemorrhage
International Conference on Digestive Diseases
Hemant Atri
Fortis Escorts Hospital, India
ScientificTracks Abstracts: J Gastrointest Dig Syst
Abstract
Dieulafoy�s lesion is a relatively rare, but potentially life-threatening, condition. It accounts for 1-2% of acute gastrointestinal (GI) bleeding, but arguably is under-recognized rather than rare. Extra-gastric Dieulafoy�s lesions are even more uncommon. We report the case of a 92-year-old male who presented with gastrointestinal bleeding from a transverse colonic Dieulafoy�s lesion. He presented with multiple episodes of melena followed by one episode of fresh blood per rectum. In addition, there was associated pre-syncope and anemia. Upper GI endoscopy was negative for an upper GI source of bleeding but on colonoscopy an actively oozing Dieulafoy�s lesion was identified in the ascending colon. Bipolar cautery and two hemostatic endoclips were applied to achieve hemostasis. Clinicians should consider this rare entity as a potential cause of potentially life-threatening lower gastrointestinal bleeding.Biography
Hemant Atri has completed his MBBS from P.D.U. Medical College, Rajkot, Gujarat and currently pursuing Post-graduation in DNB Surgery at Fortis Escorts Hospital, Faridabad, India.
Email: atri_hemant@yahoo.in
