Ileal Dieulafoy Lesion: a rare case report
Autor: | Manjusha Milind Karegar, Aleena Jain, Amita Joshi, Amey Rojekar |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Gastrointestinal Lower gastrointestinal bleeding business.industry medicine.medical_treatment Dieulafoy Bleeding lcsh:Surgery Ileum lcsh:RD1-811 Bleed medicine.disease Small intestine Lesion medicine.anatomical_structure Laparotomy medicine lcsh:Pathology Histopathology Radiology medicine.symptom Differential diagnosis business lcsh:RB1-214 |
Zdroj: | Surgical and Experimental Pathology, Vol 1, Iss 1, Pp 1-3 (2018) |
ISSN: | 2520-8454 |
DOI: | 10.1186/s42047-018-0022-7 |
Popis: | Background Dieulafoy lesion, also known as calibre persistent artery is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). Commonest location is in proximal stomach while occurrence in small intestine, especially ileum is extremely rare. Case presentation A 26 year old female presented with lower gastrointestinal bleeding. Preliminary investigations failed to locate the exact source of bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.8 cm in diameter was identified in distal ileum. Histology revealed it to be Dieulafoy lesion. Conclusion Although uncommon, ileal dieulafoy is one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology. |
Databáze: | OpenAIRE |
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