Dieulafoy's Lesion In The Oesophagus: A Rare Cause Of Upper Gastrointestinal Bleeding. (7th February 2018)

• Record Type: Journal Article
• Authors: Nemakayala, Divyesh Reddy; Rai, Manoj P; Yam, Julie L; Laird-Fick, Heather
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-02-07
• Subjects: gi bleeding -- endoscopy -- gastroenterology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-221552
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A Dieulafoy's lesion is defined as a dilated, aberrant, submucosal artery that erodes overlying mucosa in the absence of an underlying ulcer, aneurysm or intrinsic mural abnormality. It is a rare cause of upper gastrointestinal (GI) bleed with a very high mortality rate if it goes unidentified. It is most commonly located in the lesser curvature of the stomach but is extremely rare in the oesophagus. We are reporting a 55-year-old man who had massive haematemesis. Emergent endoscopy showed Dieulafoy's lesion in the distal oesophagus. It was sclerosed using endoscopic therapy. Patient's symptoms of GI bleeding resolved, and he was discharged home in a stable manner. Although a Dieulafoy's lesion is exceedingly rare in the oesophagus, it is associated with a high mortality if undiscovered. Its amenability to life-saving endoscopic therapy prompts us to keep this as a possible differential diagnosis of an upper GI bleed.