Colonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management

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dc.contributor.authorMa, Christopher
dc.contributor.authorHundal, Rajveer
dc.contributor.authorCheng, Edwin J.
dc.date.accessioned2018-09-27T11:36:18Z
dc.date.available2018-09-27T11:36:18Z
dc.date.issued2014-10-19
dc.date.updated2018-09-27T11:36:18Z
dc.description.abstractDieulafoy’s lesions are a rare cause of gastrointestinal hemorrhage. Extragastric Dieulafoy’s lesions are even more uncommon. We report the case of a 75-year-old woman who presented with gastrointestinal bleeding from a transverse colonic Dieulafoy’s lesion. She presented with two episodes of melena followed by one episode of fresh blood per rectum. In addition, there was associated presyncope and anemia (hemoglobin 69 g/L) in the setting of supratherapeutic warfarin anticoagulation (INR 6.2) for nonvalvular atrial fibrillation. Esophagogastroduodenoscopy was negative for an upper GI source of bleeding but on colonoscopy an actively oozing Dieulafoy’s lesion was identified in the transverse colon. Bipolar cautery and hemostatic endoclips were applied to achieve hemostasis. Clinicians should consider this rare entity as a potential cause of potentially life-threatening lower gastrointestinal bleeding and we review the endoscopic modalities effective for managing colonic Dieulafoy’s lesions.
dc.description.versionPeer Reviewed
dc.identifier.citationChristopher Ma, Rajveer Hundal, and Edwin J. Cheng, “Colonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management,” Case Reports in Gastrointestinal Medicine, vol. 2014, Article ID 436293, 4 pages, 2014. doi:10.1155/2014/436293
dc.identifier.doihttps://doi.org/10.1155/2014/436293
dc.identifier.urihttp://hdl.handle.net/1880/108222
dc.identifier.urihttps://doi.org/10.11575/PRISM/44455
dc.language.rfc3066en
dc.rights.holderCopyright © 2014 Christopher Ma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleColonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management
dc.typeJournal Article
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