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Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report

Dieulafoy's lesions are uncommon causes of upper gastrointestinal bleeding (UGIB) that pose a life-threatening risk if not diagnosed promptly and treated appropriately. These lesions are composed of enlarged submucosal blood vessels that bleed despite any gross abnormality. Early intervention w...

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Detalles Bibliográficos
Autores principales: Levy, Amanda R, Broad, Sierra, Loomis III, James R, Thomas, Julie A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802011/
https://www.ncbi.nlm.nih.gov/pubmed/36600857
http://dx.doi.org/10.7759/cureus.32051
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author Levy, Amanda R
Broad, Sierra
Loomis III, James R
Thomas, Julie A
author_facet Levy, Amanda R
Broad, Sierra
Loomis III, James R
Thomas, Julie A
author_sort Levy, Amanda R
collection PubMed
description Dieulafoy's lesions are uncommon causes of upper gastrointestinal bleeding (UGIB) that pose a life-threatening risk if not diagnosed promptly and treated appropriately. These lesions are composed of enlarged submucosal blood vessels that bleed despite any gross abnormality. Early intervention with esophagogastroduodenoscopy (EGD) is necessary to avoid more invasive treatment with angiogram embolization or surgical removal. This paper aims to discuss a case regarding a patient with difficult-to-control recurrent bleeding from a Dieulafoy's lesion located in the gastric fundus of a previously healthy 60-year-old female. This case highlights the need for dual therapy and special considerations regarding antiplatelet medications and supplements when treating patients with Dieulafoy's lesions.
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spelling pubmed-98020112023-01-03 Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report Levy, Amanda R Broad, Sierra Loomis III, James R Thomas, Julie A Cureus Family/General Practice Dieulafoy's lesions are uncommon causes of upper gastrointestinal bleeding (UGIB) that pose a life-threatening risk if not diagnosed promptly and treated appropriately. These lesions are composed of enlarged submucosal blood vessels that bleed despite any gross abnormality. Early intervention with esophagogastroduodenoscopy (EGD) is necessary to avoid more invasive treatment with angiogram embolization or surgical removal. This paper aims to discuss a case regarding a patient with difficult-to-control recurrent bleeding from a Dieulafoy's lesion located in the gastric fundus of a previously healthy 60-year-old female. This case highlights the need for dual therapy and special considerations regarding antiplatelet medications and supplements when treating patients with Dieulafoy's lesions. Cureus 2022-11-30 /pmc/articles/PMC9802011/ /pubmed/36600857 http://dx.doi.org/10.7759/cureus.32051 Text en Copyright © 2022, Levy et al. https://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 Family/General Practice
Levy, Amanda R
Broad, Sierra
Loomis III, James R
Thomas, Julie A
Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title_full Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title_fullStr Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title_full_unstemmed Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title_short Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
title_sort diagnosis and treatment of a recurrent bleeding dieulafoy’s lesion: a case report
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802011/
https://www.ncbi.nlm.nih.gov/pubmed/36600857
http://dx.doi.org/10.7759/cureus.32051
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