[Acute lower gastrointestinal tract bleeding caused by Dieulafoy lesion in rectum--case report].
Dieulafoy lesion may be one of the rare causes of acute gastrointestinal (GI) bleeding. This pathology mostly appears in the stomach wall, but very rarely it can be found in other parts of GI tract. Authors describe a case of 57-year-old female patient with a history of ulcerative colitis, staying in the complete remission since the moment of diagnosis many years ago, without any treatment. During the week before admission to the hospital, patient observed streaks of blood in the stool and felt some pain in the lower abdomen. On the day of admission to one of surgical departments in Szczecin, acute rectal bleeding had started in the patient, causing very serious state. The primary diagnosis was: rectal bleeding caused by a flare of ulcerative colitis. Sigmoidoscopy was performed in Gastroenterology Departament and it showed a vessel coming out of the rectal wall (like Dleulafoy lesion), with symptoms of active bleeding, while the mucosa was unchanged. The hemoclipping was performed and bleeding has been stopped. There was no recurrent bleeding.
Bielicki
Dariusz
D
Pomorska Akademia Medyczna w Szczecinie, Klinika Gastroenterologii. newdodo@poczta.onet.pl
Wasilewicz
Michał P
MP
D000208:Acute Disease; D003093:Colitis, Ulcerative / Q000150:complications*; D003113:Colonoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D012007:Rectum / Q000473:pathology* / Q000601:surgery