title: Dieulafoy's lesion of the anal canal: report of a case.
abstract: OBJECTIVE
  Dieulafoy's lesion of the anal canal is a very rare clinical case. Although it was first described in the stomach, there has been an increasing frequency, especially in the last decade, of reports of the lesion in the colorectal region.
  
  
  METHODS
  Herein, we report one case presenting with massive hematochezia requiring multiple blood transfusions due to a Dieulafoy's lesion in the anal canal. To our knowledge, this is the fourth case in Medline. Surgical oversewing was attempted twice but rebleeding occurred, and local excision through the anal canal was performed.
  
  
  RESULTS
  The patient was treated successfully with mucosectomy including the lesion.
  
  
  CONCLUSIONS
  Sclerotherapy, alcohol and epinephrine injection, thermocoagulation and selective arterial embolization are the options of therapeutic endoscopy and interventional radiology. As for surgical management, oversewing is an alternative technique. However, in our opinion, because of the recurrent and life-threatening manner of this arterial bleeding pattern, local excision, if possible, is the most reliable management of the disease.
authors: Department of General Surgery, Ege University, Faculty of Medicine, Izmir, Turkey. ozgur.firat@ege.edu.tr
authors: Ozgür
authors: O
authors: Firat
authors: Yüksel
authors: Y
authors: Karaköse
authors: Cemil
authors: C
authors: Calişkan
authors: Ozer
authors: O
authors: Makay
authors: Omer
authors: O
authors: Ozütemiz
authors: Mustafa Ali
authors: MA
authors: Korkut
mesh_terms: D000368:Aged; D001004:Anus Diseases / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000628:therapy; D006801:Humans