Korean J Gastrointest Endosc.  1999 Jun;19(3):454-459.

A Dieulafoy-like Lesion of the Rectum as a Cause of Massive Lower G-I Bleeding

Affiliations
  • 1Department of Internal Medicine, College of Medicine Soon Chun Hang University, Chunan, Korea.

Abstract

Dieulafoy's lesion is an exposed submucosal artery associated with a minute mucosal defect in the stomach, and it is a rare cause of profuse, but intermittent gastrointestinal bleeding. Less commonly, similar lesions have been identified in the duodenum, jejunum, colon, and in rare cases, the rectum. Only four cases of rectal Dieulafoy's lesion have been reported in English Medical literature: one case involved a child, two in otherwise healthy young men, and one in on elderly man. In this report, two elderly men are described, who suffered an massive hematochezia from a small rectal mucosal defect with a visible vessel. Control of the bleeding was successfully achieved with on endoscopic sclerotherapy or hemoclipping. The fact that rectal Dieulafoy disease is one of the causes of massive hematochezia should serve as a reminder in future cases, especially involving alcoholics and elderly men.

Keyword

Dieulafoy; Massive hematochezia; Rectum

MeSH Terms

Aged
Alcoholics
Arteries
Child
Colon
Duodenum
Gastrointestinal Hemorrhage
Hemorrhage*
Humans
Jejunum
Male
Rectum*
Sclerotherapy
Stomach
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