A rare case of duodenal Dieulafoy’s lesion managed by endoscopic band ligation

Authors

  • Kiran Urabinahatti Institute of Surgical Gastroenterology and Liver Transplant, Stanley Medical College, Chennai, Tamil Nadu, India
  • Murugesan Satish Devakumar Institute of Surgical Gastroenterology and Liver Transplant, Stanley Medical College, Chennai, Tamil Nadu, India
  • Thangasamy Selvaraj Institute of Surgical Gastroenterology and Liver Transplant, Stanley Medical College, Chennai, Tamil Nadu, India
  • Jeswanth Sathyanesan Institute of Surgical Gastroenterology and Liver Transplant, Stanley Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20232651

Keywords:

Dieulafoy’s lesion, Duodenal Dieulafoy’s, GI bleed, Banding

Abstract

Dieulafoy's lesion is an uncommon but important cause of recurrent upper gastrointestinal bleeding. Extragastric location of Dieulafoy's lesion is rare. We report a case of duodenal Dieulafoy's lesion which was successfully managed by banding. Fifty-year-old presented with recurrent upper gastrointestinal (GI) bleed and severe anemia with history of multiple blood transfusions and OGD scope showed dieulafoy’s lesion in the second part of duodenum (D2), which was successfully managed by banding. Endoscopic diagnosis of extragastric Dieulafoy's lesion can be difficult because of the small size and obscure location of the lesion. Increased awareness and careful and early endoscopic evaluation following the bleeding episode are the key to accurate diagnosis. Banding is one of the safest, cost effective endoscopic modalities for control of bleeding.

References

Al-Mishlab T, Amin AM, Ellul JM. Dieulafoy's lesion: an obscure cause of GI bleeding. J R Coll Surg Edinb. 1999;44:222-5.

Arora A, Mehrotra R, Patnaik PK, Pande G, Ahlawat S, Bhargava DK. Dieulafoy's lesion: a rare cause of massive upper gastrointestinal hemorrhage. Trop Gastroenterol. 1991;12:25-30.

McClave SA, Goldschmid S, Cunningham JT, Boyd WP Jr. Dieula- foy's cirsoid aneurysm of the duodenum. Dig Dis Sci. 1988;33:801-5.

Norton ID, Petersen BT, Sorbi D, Balm RK, Alexander GL, Gostout CJ. Management and long-term prognosis of Dieula-foy lesion. Gastrointest Endosc. 1999;50:762-7.

Goldenberg SP, DeLuca VA, Marignani P. Endoscopic treatment of Dieulafoy's lesion of the duodenum. Am J Gastroenterol. 1990;4:452-4.

Gadenstatter M, Wetscher G, Crookes PF, Mason RJ, Schwab G, Pointner R. Dieulafoy's disease of the large and small bowel. J Clin Gastroenterol. 1998;27:169-72.

Nikolaidis N, Zezos P, Giouleme O, Budas K, Marakis G, Paroutoglou G, et al. Endoscopic band ligation of Dieulafoy-like lesions in the upper gastrointestinal tract. Endoscopy. 2001;33:754-60.

Hokama A, Ikema R, Hanashiro K, Kinjo F, Saito A Endoscopic hemoclipping for duodenal Dieulafoy's lesion. Am J Gastroenterol. 1996;91:2450.

Ertekin C, Taviloglu K, Barbaros U, Guloglu R, Dolay K. Endo- scopic band ligation: alternative treatment method in non- variceal upper gastrointestinal hemorrhage. J Laparoendosc Adv Surg Tech A. 2002;12:41-5.

Chung IK, Kim EJ, Lee MS, Kim HS, Park SH, Lee MH, et al. Bleeding Dieulafoy's lesions and the choice of endoscopic method: comparing the hemostatic efficacy of mechanical and injection methods. Gastrointest Endosc. 2000;52:721-4.

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Published

2023-08-28

Issue

Section

Case Reports