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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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2022-11, Vol.14 (11), p.e32051
Hauptverfasser: Levy, Amanda R, Broad, Sierra, Loomis Iii, James R, Thomas, Julie A
Format: Artikel
Sprache:eng
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Zusammenfassung: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.32051