title: Dieulafoy-like lesion of the rectum presenting with exsanguinating hemorrhage: successful endoscopic sclerotherapy.
abstract: 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.
authors.affiliation: Department of Medicine, Loma Linda University Medical Center, California.
authors.forename: J D
authors.initials: JD
authors.lastname: Abdulian
authors.forename: M J
authors.initials: MJ
authors.lastname: Santoro
authors.forename: Y K
authors.initials: YK
authors.lastname: Chen
authors.forename: M J
authors.initials: MJ
authors.lastname: Collen
mesh_terms: 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
chemical_list: D000431:Ethanol; D012981:Sodium Tetradecyl Sulfate