Dieulafoy-like lesion of the rectum presenting with exsanguinating hemorrhage: successful endoscopic sclerotherapy.
The classic Dieulafoy lesion is a minute gastric mucosal defect that bleeds massively from an exposed artery. Similar lesions have been identified in the small intestine, colon, and rectum. In this report, we describe a patient who presented with an exsanguinating hemorrhage from a small rectal ulcer with a visible vessel. Control of the bleeding was achieved with endoscopic sclerotherapy using absolute alcohol and 1.5% sodium tetradocyl sulfate, with eventual complete healing of the site.
Abdulian
J D
JD
Department of Medicine, Loma Linda University Medical Center, California.
Santoro
M J
MJ
Chen
Y K
YK
Collen
M J
MJ
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications* / Q000628:therapy; D000431:Ethanol / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D012007:Rectum / Q000098:blood supply*; D015911:Sclerotherapy; D012981:Sodium Tetradecyl Sulfate / Q000627:therapeutic use
D000431:Ethanol; D012981:Sodium Tetradecyl Sulfate