Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases

Dieulafoy’s lesion is a rare source of gastrointestinal bleeding. It can be found anywhere in the gastrointestinal tract, but is most commonly seen in the proximal third of the stomach. It is a submucosal artery, adjacent to the mucosal surface, with no evidence of superficial ulcers. Lesions are ro...

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Main Authors: Goran Sarafiloski, Mimi Marinova, Pencho Tonchev
Format: Article
Language:English
Published: Medical University - Pleven 2021-12-01
Series:Journal of Biomedical & Clinical Research
Subjects:
Online Access:https://jbcr.arphahub.com/article/34611/download/pdf/
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author Goran Sarafiloski
Mimi Marinova
Pencho Tonchev
author_facet Goran Sarafiloski
Mimi Marinova
Pencho Tonchev
author_sort Goran Sarafiloski
collection DOAJ
description Dieulafoy’s lesion is a rare source of gastrointestinal bleeding. It can be found anywhere in the gastrointestinal tract, but is most commonly seen in the proximal third of the stomach. It is a submucosal artery, adjacent to the mucosal surface, with no evidence of superficial ulcers. Lesions are routinely diagnosed and treated endoscopically. Their frequency is currently not well known, because as Dieulafoy lesions can be easily missed during endoscopy, and bleeding lesions are sometimes misidentified. In this article, we describe two cases of bleeding from the upper gastrointestinal tract, manifested by hematemesis and melena. Bleeding was successfully managed endoscopically by means of injection of adrenaline solution and application of an endoscopic hemoclip.
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series Journal of Biomedical & Clinical Research
spelling doaj-art-e7532222efc142f4878c739ad1f705f52025-08-20T02:45:42ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532021-12-0114218618910.2478/jbcr-2021-001334611Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical CasesGoran SarafiloskiMimi MarinovaPencho TonchevDieulafoy’s lesion is a rare source of gastrointestinal bleeding. It can be found anywhere in the gastrointestinal tract, but is most commonly seen in the proximal third of the stomach. It is a submucosal artery, adjacent to the mucosal surface, with no evidence of superficial ulcers. Lesions are routinely diagnosed and treated endoscopically. Their frequency is currently not well known, because as Dieulafoy lesions can be easily missed during endoscopy, and bleeding lesions are sometimes misidentified. In this article, we describe two cases of bleeding from the upper gastrointestinal tract, manifested by hematemesis and melena. Bleeding was successfully managed endoscopically by means of injection of adrenaline solution and application of an endoscopic hemoclip.https://jbcr.arphahub.com/article/34611/download/pdf/Dieulafoy lesionhemorrhagehematemesisendosco
spellingShingle Goran Sarafiloski
Mimi Marinova
Pencho Tonchev
Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
Journal of Biomedical & Clinical Research
Dieulafoy lesion
hemorrhage
hematemesis
endosco
title Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
title_full Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
title_fullStr Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
title_full_unstemmed Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
title_short Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
title_sort dieulafoy lesion as a source of bleeding a report of two clinical cases
topic Dieulafoy lesion
hemorrhage
hematemesis
endosco
url https://jbcr.arphahub.com/article/34611/download/pdf/
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AT mimimarinova dieulafoylesionasasourceofbleedingareportoftwoclinicalcases
AT penchotonchev dieulafoylesionasasourceofbleedingareportoftwoclinicalcases