Gastrointestinal Bleeding from Dieulafoy’s Lesion in the Cecum
Dieulafoy’s lesion is a rare cause of gastrointestinal (GI) bleeding comprising approximately 2% of all acute GI bleeds. It is an abnormal submucosal artery that has a tortuous course before protruding through the mucosa and leading to hemorrhage. Dieulafoy’s lesions are most commonly located in the upper GI tract within the lesser curvature of the stomach. Lower GI tract Dieulafoy’s lesions are remarkably rare. Our case describes an elderly gentleman who presented with fatigue and dyspnea several days prior to experiencing any evidence of GI bleeding. Initial laboratory investigation revealed severe anemia, requiring packed red blood cell transfusion. Endoscopic examination revealed a cecal Dieulafoy’s lesion with active spurting of blood. Hemostasis was achieved through local epinephrine injection and hemostatic clipping. Previously reported cases of cecal Dieulafoy’s lesions involve variable presentations including hematochezia, melena, or bright red blood per rectum. These lesions can be treated by angiography, surgically, or endoscopically via techniques that include epinephrine or ethanol injection, argon plasma coagulation, heater probe coagulation, hemostatic clips, or band ligation. Dieulafoy’s lesions of the lower GI tract should be considered when no clear culprit is discovered, particularly with the concomitant use of antiplatelet agents and anticoagulants.
- Location
-
Deutsche Nationalbibliothek Frankfurt am Main
- Extent
-
Online-Ressource
- Language
-
Englisch
- Bibliographic citation
-
Gastrointestinal Bleeding from Dieulafoy’s Lesion in the Cecum ; volume:16 ; number:3 ; year:2022 ; pages:601-606 ; extent:6
Case reports in gastroenterology ; 16, Heft 3 (2022), 601-606 (gesamt 6)
- Creator
-
Dokmak, Amr
Muso, Ergen
- DOI
-
10.1159/000525740
- URN
-
urn:nbn:de:101:1-2023010423232735623626
- Rights
-
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
-
15.08.2025, 7:24 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Dokmak, Amr
- Muso, Ergen
Other Objects (12)
Massive Gastrointestinal Bleeding from a Jejunal Dieulafoy Lesion: An Extraordinary Presentation
Dieulafoy lesion in the colon: a rare cause of lower gastrointestinal bleeding
Gastrointestinal Bleeding from the Papilla of Vater
Rectal Dieulafoy’s Lesion: An Underrecognized Cause of Lower Gastrointestinal Bleeding
Lower Gastrointestinal Bleeding
Upper Gastrointestinal Bleeding from Gastrointestinal Metastases of a Hemangiosarcoma
Upper Gastrointestinal Bleeding From Leukemic Gastric Implants
Scurvy with gastrointestinal bleeding
Colonic Dieulafoy lesion successfully treated by endoclips: a rare cause of lower gastrointestinal bleeding
Upper gastrointestinal bleeding due to Dieulafoy’s lesion of the stomach : a rare case report
An unusual cause of massive upper gastrointestinal bleeding: Dieulafoy's lesion within a giant midesophageal diverticulum
Chronic gastrointestinal bleeding caused by a Dieulafoy’s lesion in the small intestine: a case report
Massive Gastrointestinal Bleeding from a Jejunal Dieulafoy Lesion: An Extraordinary Presentation
Dieulafoy lesion in the colon: a rare cause of lower gastrointestinal bleeding
Gastrointestinal Bleeding from the Papilla of Vater
Rectal Dieulafoy’s Lesion: An Underrecognized Cause of Lower Gastrointestinal Bleeding
Lower Gastrointestinal Bleeding
Upper Gastrointestinal Bleeding from Gastrointestinal Metastases of a Hemangiosarcoma
Upper Gastrointestinal Bleeding From Leukemic Gastric Implants
Scurvy with gastrointestinal bleeding
Colonic Dieulafoy lesion successfully treated by endoclips: a rare cause of lower gastrointestinal bleeding
Upper gastrointestinal bleeding due to Dieulafoy’s lesion of the stomach : a rare case report
An unusual cause of massive upper gastrointestinal bleeding: Dieulafoy's lesion within a giant midesophageal diverticulum
Chronic gastrointestinal bleeding caused by a Dieulafoy’s lesion in the small intestine: a case report
Massive Gastrointestinal Bleeding from a Jejunal Dieulafoy Lesion: An Extraordinary Presentation
Dieulafoy lesion in the colon: a rare cause of lower gastrointestinal bleeding
Gastrointestinal Bleeding from the Papilla of Vater
Rectal Dieulafoy’s Lesion: An Underrecognized Cause of Lower Gastrointestinal Bleeding
Lower Gastrointestinal Bleeding
Upper Gastrointestinal Bleeding from Gastrointestinal Metastases of a Hemangiosarcoma
Upper Gastrointestinal Bleeding From Leukemic Gastric Implants
Scurvy with gastrointestinal bleeding
Colonic Dieulafoy lesion successfully treated by endoclips: a rare cause of lower gastrointestinal bleeding
Upper gastrointestinal bleeding due to Dieulafoy’s lesion of the stomach : a rare case report
An unusual cause of massive upper gastrointestinal bleeding: Dieulafoy's lesion within a giant midesophageal diverticulum