Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review

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...

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Autores principales: Dadhania, Divyesh, Valakkada, Jineesh, Ayyappan, Anoop, Kannath, Santhosh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology. 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906150/
https://www.ncbi.nlm.nih.gov/pubmed/35300227
http://dx.doi.org/10.1259/bjrcr.20210117
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author Dadhania, Divyesh
Valakkada, Jineesh
Ayyappan, Anoop
Kannath, Santhosh
author_facet Dadhania, Divyesh
Valakkada, Jineesh
Ayyappan, Anoop
Kannath, Santhosh
author_sort Dadhania, Divyesh
collection PubMed
description 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.
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spelling pubmed-89061502022-03-16 Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review Dadhania, Divyesh Valakkada, Jineesh Ayyappan, Anoop Kannath, Santhosh BJR Case Rep Case Report 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. The British Institute of Radiology. 2022-03-09 /pmc/articles/PMC8906150/ /pubmed/35300227 http://dx.doi.org/10.1259/bjrcr.20210117 Text en © 2021 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Dadhania, Divyesh
Valakkada, Jineesh
Ayyappan, Anoop
Kannath, Santhosh
Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title_full Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title_fullStr Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title_full_unstemmed Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title_short Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach – A case report with review
title_sort role of imaging and endovascular radiology in endoscopically missed dieulafoy’s lesion of stomach – a case report with review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906150/
https://www.ncbi.nlm.nih.gov/pubmed/35300227
http://dx.doi.org/10.1259/bjrcr.20210117
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