Case Report: Dieulafoy Lesion 3210-3211
Dr R. Chidambaranath
Department of Surgery,
Fr Mullerâ€™s Hospital,
Karnataka State, India
Ph: 00 91 824 2238297
Introduction: Dieulafoy lesion (DL) is one of the rare causes of upper GI bleeding, less often diagnosed. We had an elderly female patient with haematemesis which turned out to be unusual, the case details are presented here. There were very few female patients in this hospital with haematemesis in the over 40 age group, out of which most were duodenal ulcer bleed or those from carcinoma stomach. This is only the second case in the authorâ€™s experience.
Case history: This is a 55 yr old female patient who presented with progressive haematemesis, initially controlled by adrenaline injection, but later, due to continued bleeding was subjected to surgery, and made a full recovery.
Conclusion: Dieulafoy lesion is less often suspected. Adrenaline injection or other Endoscopic modes of sclerotherapy are usually useful in control of bleeding. It also needs to be differentiated by endoscopy or by biopsy, from other forms of benign non-epithelial vascular lesions of the stomach, primarily, angiodysplasis.