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Chronic Gastrointestinal Bleeding Caused by a Dieulafoy’S Lesion in The Small Intestine: A Case Report Publisher Pubmed



Salimi J1 ; Behzadi M1 ; Ramandi A1, 2 ; Jafarinia M3 ; Zand H1 ; Pirouzian M3
Authors
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Authors Affiliations
  1. 1. Vascular Surgery Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Vascular Surgery Department, Naft Hospital, Tehran, Iran

Source: Journal of Medical Case Reports Published:2021


Abstract

Introduction: Dieulafoy’s lesion, first found by Paul Georges Dieulafoy, is an infrequent but important cause of recurrent upper gastrointestinal bleeding. The bleeding is usually severe, but patients rarely present with chronic, occult gastrointestinal bleeding. Case presentation: In this article, we discuss the case of a 68-year-old caucasian man with a history of recurrent hematemesis and chronic anemia with evidence of extravasation of contrast in the lumen of the bowel loop on computed tomography angiography. The patient was taken to the operating room, and a laparotomy procedure was performed. Conclusion: Due to the infrequency of Dieulafoy’s lesion compared with other causes of gastrointestinal bleeding, it is often missed in the process of differential diagnosis. In this article, we have demonstrated the importance of this disease and different approaches to the treatment of this lesion, considering the location of the lesion among other factors. © 2021, The Author(s).