Double Dieulafoy-like lesion in the stomach.
Dieulafoy's lesion is an uncommon cause of major gastrointestinal bleeding and may be difficult to recognize. It consists of an arteriole that protrudes through a tiny mucosal defect usually within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. Despite widespread awareness of this entity, it remains a diagnostic challenge for gastroenterologists because of its small size and hidden location. Emergency endoscopy is the most effective method of diagnosing the disease. We report a patient, with double Dieulafoy-like lesion, who was successfully treated endoscopically using hemostatic clip application. The characteristics of the Dieulafoy's lesion, its current diagnosis, and its treatment are discussed.
Katsinelos
P
P
Department of Endoscopy and Motility Unit, General Hospital George Gennimatas, Thessaloniki, Greece. pantso@the.forthnet.gr
Paroutoglou
G
G
Pilpilidis
I
I
Tsolkas
P
P
Papagiannis
A
A
Kapelidis
P
P
Trakateli
C
C
Iliadis
A
A
Georgiadou
E
E
Kamperis
E
E
Dimiropoulos
S
S
Vasiliadis
I
I
D000368:Aged; D000369:Aged, 80 and over; D001160:Arterioles / Q000002:abnormalities; D000013:Congenital Abnormalities / Q000175:diagnosis; D004630:Emergencies; D005748:Gastric Fundus / Q000473:pathology; D005753:Gastric Mucosa / Q000002:abnormalities*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D013525:Surgical Instruments