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Case report
Incidental massive lower gastrointestinal hemorrhage caused by a rectal Dieulafoy’s lesion
  1. Genesis Perez Del Nogal1,
  2. Rangesh Modi1,
  3. Ivania Salinas1 and
  4. Kalyan Chakrala2
  1. 1 Internal Medicine, Texas Tech University Health Sciences Center School of Medicine Permian Basin, Odessa, Texas, USA
  2. 2 Gastroenterology, Medical Center Hospital, Odessa, Texas, USA
  1. Correspondence to Dr Genesis Perez Del Nogal; genesisdelnogal{at}gmail.com

Abstract

A Dieulafoy’s lesion is a rare cause of massive gastrointestinal (GI) bleeding. It represents an abnormally dilated submucosal artery that erodes the overlying epithelium in the absence of a primary ulcer. These lesions are usually located in the stomach, nevertheless, they have been found in all areas of the GI tract, including the oesophagus, duodenum and colon. Bleeding episodes are often self-limited, although bleeding can be recurrent and profuse. The case describes a 50-year-old woman who developed haemorrhagic shock secondary to a rectal Dieulafoy’s lesion and discusses the diagnostic and therapeutic approaches.

  • drugs: gastrointestinal system
  • endoscopy
  • gi bleeding
  • alcoholic liver disease

http://dx.doi.org/10.1136/bcr-2021-244264

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    Footnotes

    • Contributors GPDN conceived the original idea. GPDN and RM planned, and conducted the investigation, IS helped reporting. Conception and design was made by GPDN. GPDN and RM worked on acquisition of data and analysis and interpretation of data. GPDN and RM wrote the case report with support from IS. KC supervised the project.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.