It is thought to cause less than 5% of all gastrointestinal bleeds in adults. It is most common in the stomach but can occur in other locations, including the small and large intestine. Elle fut decrite par le medecin et chirurgien paul georges dieulafoy au xix e siecle. Dieulafoy lesions and arteriovenous malformations i. It is a known cause of gastrointestinal gi bleeding and commonly located in the lesser curvature of the stomach, but it is rare in the anal canal. Oesophagogastroduodenoscopy showed the characteristic appearance of dieulafoy lesions tiny punctuate lesions along the lesser curve of the. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. The dieulafoy lesion is a vascular anomalie generally located in proximal. For language access assistance, contact the ncats public information officer. A dieulafoy lesion is characterized by a dilated tortuous submucosal artery that erodes overlying gastrointestinal mucosa most commonly found in the stomach.
Although the lesion has been found throughout the gastrointestinal tract, it most commonly occurs in the proximal stomach. Dieulafoys lesion or ulcer is an infrequent cause of upper gastrointestinal bleeding, that usually represents less than 5% of all causes. Dieulafoy lesion is the presence of a large blood vessel that can persist, erode and cause massive, recurrent and fatal bleeding. Dieulafoy lesions and arteriovenous malformations cancer. Carolina vargas arias jos francisco navarro coto summary dieulafoys lesion is an unusual cause for massive gastrointestinal hemorrhage, mainly located at the stomach, but also diagnosed in other sites of the gastrointestinal tract. Pronunciation of dieulafoy with 2 audio pronunciations and more for dieulafoy.
A tortuous large arteriole in the wall of the stomach can result in significant. Dieulafoy lesions are uncommon but important causes of acute upper gastrointestinal bleeding. Dieulafoys lesion is a rare but relevant cause of gastrointestinal bleeding. Sham lesion is the name given to a control procedure during a lesion experiment. Oesophagogastroduodenoscopy showed the characteristic appearance of dieulafoy lesionstiny punctuate lesions along the lesser curve of the. To communicate a case series of dieulafoy lesion treated at service of gastrointestinal endoscopy at regional. Recurrent gastrointestinal bleeding from dieulafoys.
Although dieulafoy s lesion was initially described in the stomach and upper gastrointestinal tract, cases have also been reported in the colon, rectum and anal. Dieulafoys lesion is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall that erodes and bleeds. It is larger than the vessels usually in that area. Dieulafoy lesions figure 1 are large tortuous arterioles in the stomach that cause between 1 to 5. In a sham lesion, an animal may be placed in a stereotaxic apparatus and electrodes inserted as in the experimental condition, but no current is passed, and therefore damage to the tissue should be minimal. The characteristics of the lesion are nonspecific, but in the presence of a small usually dieulafoy in english. It was named after french surgeon paul georges dieulafoy. Dieulafoy s lesion is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall submucosal that erodes and bleeds.
Gastrointestinal bleeding, dieulafoys lesion, duodenal, endoscopic hemostasis. Dieulafoys lesion dl is a dilated aberrant submucosal vessel that erodes through the overlying epithelium in the absence of a primary ulcer. Jun 12, 2009 the lesion in dieulafoy s disease consists of a submucosal ectatic artery in the gastrointestinal tract. Anatomically, it originates from an artery that has a persistent caliber and protrudes into the. Dieulafoy disease is an unusual cause of massive and frequently fatal gastrointestinal tract hemorrhage that results from the erosion of a submucosal artery. Dieulafoys lesion dl is a relatively rare condition which carries a significantly high risk for mortality. Dieulafoy lesion is an abnormally large artery a vessel that takes blood from the heart to other areas of the body in the lining of the gastrointestinal system. Google scholar lin hj, lee fy, tsai yt, lee sd, lee ch, kang wm. Oesophagogastroduodenoscopy showed the characteristic appearance of dieulafoy lesionstiny punctuate. Rey 1, renzo pinto 1, jorge lizarazo 1, juan marulanda 1, juan molano 1. Cureus a bleeding dieulafoys lesion in the anal canal.
Dieulafoy lesions can cause severe and sudden gastrointestinal bleeding. Masive gastrointestinal bleeding due to dieulafoy lesion of the colon. It can present in any part of the gastrointestinal tract. Recurrent gastrointestinal bleeding from dieulafoys lesions. The condition occurs in people of all ages, but is. Although dieulafoys lesion was initially described in the stomach and upper gastrointestinal tract, cases have also been reported in the colon, rectum and anal. Dieulafoy s lesion is an uncommon vascular anomaly causing massive gastrointestinal hemorrhage, characterized by bleeding from an arteriole that protrudes through a tiny mucosal defect. If you have problems viewing pdf files, download the latest version of adobe reader.
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