Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : PD06 - PD08

Melena Secondary to Duodenal Dieulafoy’s Lesion: A Rare Case Report

Uthamalingam Murali, Mohammad Azhar Anis Ahmad, Ahmad Rahuddin Bin Abdul Hali, Muhamad Afiq Hamidin

1. Professor and Head, Department of Surgery, Anna Medical College, Mauritius. 2. Consultant Surgeon, Department of Surgery, Tengku Abdul Rahman Hospital, Shah Alam, Selangor, Malaysia. 3. MBBS Student, Department of Surgery, Management and Science University, Shah Alam, Selangor, Malaysia. 4. MBBS Student, Department of Surgery, Management and Science University, Shah Alam, Selangor, Malaysia.

Correspondence Address :
Dr. Uthamalingam Murali,
Professor and Head, Department of Surgery, Anna Medical College, Sans Souci Road, Montagne Blanche-80906, Mauritius.
E-mail: srimuralihospital2012@gmail.com

Abstract

Melena is one of the presenting feature of Upper Gastrointestinal Bleeding (UGIB). Melena due to Dieulafoy’s lesion in the duodenum is one of the obscure causes of Gastrointestinal Bleeding (GIB) and is a rare but life threatening entity. We report a unique case of Dieulafoy’s lesion in a 74-year-old male patient with premorbid condition of diabetes who presented with two episodes of blackish coloured stools, filling up the entire toilet bowl. No other symptoms of either abdominal pain, vomiting of blood, fever or any intake of medications were noted. Upper Gastro-Intestinal (UGI) endoscopy revealed abnormal vessels at D1/D2 of C loop duodenum with normal mucosa consistent with Dieulafoy’s lesion along with active bleeding. Haemoclips were applied to the duodenal Dieulafoy’s lesion and patient recovered well. This case was reported for the first time from Malaysia.

Keywords

Blackish coloured stools, Haemoclip, Upper gastrointestinal bleeding

How to cite this article :

Uthamalingam Murali, Mohammad Azhar Anis Ahmad, Ahmad Rahuddin Bin Abdul Hali, Muhamad Afiq Hamidin. MELENA SECONDARY TO DUODENAL DIEULAFOY’S LESION: A RARE CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 22 ]; 11:PD06-PD08. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=PD06-PD08&id=10908

DOI and Others

DOI: 10.7860/JCDR/2017/28515.10908

Date of Submission: Mar 20, 2017
Date of Peer Review: May 06, 2017
Date of Acceptance: Oct 07, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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