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Case Reports
. 2019 Feb 14;13(1):73-77.
doi: 10.1159/000497139. eCollection 2019 Jan-Apr.

Rectal Dieulafoy's Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage

Eric Omar Then  1 , Rani Bijjam  1 , Andrew Ofosu  2 , Prashanth Rawla  3 , Andrea Culliford  1 , Vinaya Gaduputi  1
Affiliations
Case Reports

Rectal Dieulafoy's Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage

Eric Omar Then et al. Case Rep Gastroenterol. .

Abstract

A Dieulafoy's lesion is defined as a dilated submucosal vessel that erodes the overlying epithelium without evidence of a primary ulcer or erosion. It is a rare cause of gastrointestinal bleeding that is difficult to identify and subsequently manage. Most commonly, they occur in the upper gastrointestinal tract, namely the stomach. A Dieulafoy's lesion of the rectum, however, is an exceedingly rare presentation that can lead to life-threatening gastrointestinal bleeding. Our case consists of an 84-year-old man, who presented with lower gastrointestinal bleeding secondary to a Dieulafoy's lesion of the rectum.

Keywords: Dieulafoy's lesion; Endoscopy; Gastrointestinal hemorrhage; Hemostasis.

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Figures

Fig. 1
Fig. 1
An actively bleeding Dieulafoy's lesion in the distal rectum, just proximal to the pectinate line.
Fig. 2
Fig. 2
Hemostasis achieved with 3 hemostatic clips.
See this image and copyright information in PMC

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