title: Acute lower gastrointestinal bleeding from a dieulafoy lesion proximal to the anorectal junction post-orthotopic liver transplant.
abstract: 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.
authors.affiliation: The University of British Columbia, Vancouver, BC, Canada.
authors.forename: Wichian
authors.initials: W
authors.lastname: Apiratpracha
authors.forename: Jin-Kee
authors.initials: JK
authors.lastname: Ho
authors.forename: James-J
authors.initials: JJ
authors.lastname: Powell
authors.forename: Eric-M
authors.initials: EM
authors.lastname: Yoshida
mesh_terms: 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