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.
Share Button
New comment
Comments
No comments for this article
References
1. Relea Pérez Lucía, Magaz Martínez Marta, Pons Renedo Fernando. Massive upper gastrointestinal bleeding due to a Dieulafoy’s lesion inside a duodenal diverticulum. Rev Esp Enferm Dig 2017 Oct 30; 109.
2. Ibañez A, Castro E, Fernández E, et al. Aspectos clínicos y tratamiento endoscópico de la hemorragia digestiva por lesión de Dieulafoy. Rev Esp Enferm Dig 2007; 99: 505-510.
3. Burak KW, Lee SS, Beck PL. Portal Hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut 2001; 49: 866-72
4. Chung IK, Kim EJ, Lee MS, et al. Bleeding Dieulafoy's lesions and the choice of endoscopic method: comparing the hemostatic efficacy of mechanical and injection methods. Gastrointest Endosc 2000; 52: 721-4.
Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 226 visits.
This article has been downloaded 186 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology