Acute lower gastrointestinal bleeding from a dieulafoy lesion proximal to the anorectal junction post-orthotopic liver transplant.
A 67-year-old woman underwent an orthotopic liver transplantation for end stage liver disease secondary to chronic autoimmune hepatitis. She developed sudden massive hematochezia on post-operative day 23 with hemodynamic compromise. The source of hemorrhage was found at colonoscopy after careful irrigation and inspection to be a dieulafoy lesion situated just proximal to the anorectal junction. Hemostasis was achieved with epinephrine injection and thermal coagulation.
Apiratpracha
Wichian
W
The University of British Columbia, Vancouver, BC, Canada.
Ho
Jin-Kee
JK
Powell
James-J
JJ
Yoshida
Eric-M
EM
D000368:Aged; D001003:Anal Canal / Q000098:blood supply / Q000473:pathology; D001004:Anus Diseases / Q000473:pathology / Q000628:therapy; D001158:Arteries / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects* / Q000473:pathology; D012002:Rectal Diseases / Q000473:pathology / Q000628:therapy; D012007:Rectum / Q000098:blood supply / Q000473:pathology