Melena Secondary to Duodenal Dieulafoy’s Lesion: A Rare Case Report PD06-PD08
Dr. Uthamalingam Murali,
Professor and Head, Department of Surgery, Anna Medical College, Sans Souci Road, Montagne Blanche-80906, Mauritius.
Melena is one of the presenting feature of Upper Gastrointestinal Bleeding (UGIB). Melena due to Dieulafoyâ€™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 Dieulafoyâ€™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 Dieulafoyâ€™s lesion along with active bleeding. Haemoclips were applied to the duodenal Dieulafoyâ€™s lesion and patient recovered well. This case was reported for the first time from Malaysia.