Year 2018 / Volume 110 / Number 4
Letter to the Editor
A Dieulafoy’s lesion in a duodenal diverticulum. An infrequent cause of UGIB

266-267

DOI: 10.17235/reed.2018.5396/2017

Marina de Benito Sanz, Marta Cimavilla Román, Raúl Torres Yuste,

Abstract
We present the case of an 82-year-old man with a history of heart failure, mitral regurgitation, type 2 DM, hypertension, dilated cardiomyopathy and a paroxysmal atrial flutter. The patient was under treatment with Sintrom. The patient presented to the emergency department due to melenic depositions of a one day evolution and dietary vomiting. There was no rectal bleeding and the patient was admitted three months previously due to self-limited melena with a normal gastroscopy. Anemia of 8 g and an overdose of Sintrom was diagnosed. A gastroscopy was performed and a large duodenal diverticulum with a fresh clot was found that was washed. A Dieulafoy lesion was subsequently found underneath with jet bleeding, which was sclerotic with adrenaline and a hemoclip. There was a favorable evolution after correcting the coagulopathy.
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References
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de Benito Sanz M, Cimavilla Román M, Torres Yuste R. A Dieulafoy’s lesion in a duodenal diverticulum. An infrequent cause of UGIB. 5396/2017


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Publication history

Received: 24/11/2017

Accepted: 01/12/2017

Online First: 09/02/2018

Published: 02/04/2018

Article Online First time: 77 days

Article editing time: 129 days


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