Korean J Gastrointest Endosc.  2002 Aug;25(2):112-115.

A Dieulafoy's Lesion of the Rectum Treated by Endoscopic Band Ligation: A case report

  • 1Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. kth@wmc.wonkang.ac.kr


The Dieulafoy's lesion is an unusual cause of gastrointestinal hemorrhage that results from the erosion of abnormally large submucosal artery. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. Lower GI bleeding from Dieulafoy- like lesion of rectum is very rare. We describe one patient with extragastric Dieulafoy's disease, in the rectum. Diagnosis was made by endoscopy. Recently, endoscopy is important in the treatment of Dieulafoy-like lesion of rectum including epinephrine injection and coagulation therapy. We treated with the endoscopic management using ligation technique. We report a case that the 65-year old women had a extragastric Dieulafoy's lesion on the rectum, treated by endoscopic ligation with O-ring.


Dieulafoy's lesion; Rectum; Endoscopic ligation
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