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The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion

A Dieulafoy’s lesion is described as a tortuous, dilated aberrant submucosal vessel that can penetrate through the mucosa and rupture spontaneously, resulting in severe gastrointestinal bleeding. The lesion is most commonly found in the proximal stomach. Historically, it has had up to an 80% mortali...

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Autores principales: Khalid, Sameen, Abbass, Aamer, Do, Tiffanie, Malhotra, Divyanshu, Albors-Mora, Melanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106205/
https://www.ncbi.nlm.nih.gov/pubmed/27882271
http://dx.doi.org/10.7759/cureus.824
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author Khalid, Sameen
Abbass, Aamer
Do, Tiffanie
Malhotra, Divyanshu
Albors-Mora, Melanie
author_facet Khalid, Sameen
Abbass, Aamer
Do, Tiffanie
Malhotra, Divyanshu
Albors-Mora, Melanie
author_sort Khalid, Sameen
collection PubMed
description A Dieulafoy’s lesion is described as a tortuous, dilated aberrant submucosal vessel that can penetrate through the mucosa and rupture spontaneously, resulting in severe gastrointestinal bleeding. The lesion is most commonly found in the proximal stomach. Historically, it has had up to an 80% mortality rate because of its tendency to cause intermittent but severe bleeding and diagnostic challenges. We report a case of a young male with recurrent severe upper gastrointestinal bleeding with extensive prior investigations failing to reveal the source of bleeding. Computed tomography angiography of the abdomen correctly identified Dieulafoy’s lesion of the stomach, and it was subsequently confirmed and successfully treated with interventional radiology (IR)-guided mesenteric angiography and embolization.
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spelling pubmed-51062052016-11-23 The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion Khalid, Sameen Abbass, Aamer Do, Tiffanie Malhotra, Divyanshu Albors-Mora, Melanie Cureus Radiology A Dieulafoy’s lesion is described as a tortuous, dilated aberrant submucosal vessel that can penetrate through the mucosa and rupture spontaneously, resulting in severe gastrointestinal bleeding. The lesion is most commonly found in the proximal stomach. Historically, it has had up to an 80% mortality rate because of its tendency to cause intermittent but severe bleeding and diagnostic challenges. We report a case of a young male with recurrent severe upper gastrointestinal bleeding with extensive prior investigations failing to reveal the source of bleeding. Computed tomography angiography of the abdomen correctly identified Dieulafoy’s lesion of the stomach, and it was subsequently confirmed and successfully treated with interventional radiology (IR)-guided mesenteric angiography and embolization. Cureus 2016-10-10 /pmc/articles/PMC5106205/ /pubmed/27882271 http://dx.doi.org/10.7759/cureus.824 Text en Copyright © 2016, Khalid et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Khalid, Sameen
Abbass, Aamer
Do, Tiffanie
Malhotra, Divyanshu
Albors-Mora, Melanie
The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title_full The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title_fullStr The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title_full_unstemmed The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title_short The Hidden Culprit in a Massive Episode of Hematemesis: A Dieulafoy's Lesion
title_sort hidden culprit in a massive episode of hematemesis: a dieulafoy's lesion
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106205/
https://www.ncbi.nlm.nih.gov/pubmed/27882271
http://dx.doi.org/10.7759/cureus.824
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