Double Dieulafoy-like lesion in the stomach

• Published in: Surgical endoscopy Vol. 17; no. 8; p. 1324
• Main Authors: Katsinelos, P, Paroutoglou, G, Pilpilidis, I, Tsolkas, P, Papagiannis, A, Kapelidis, P, Trakateli, C, Iliadis, A, Georgiadou, E, Kamperis, E, Dimiropoulos, S, Vasiliadis, I
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01.08.2003
• Subjects: Aged; Aged, 80 and over; Arterioles - abnormalities; Congenital Abnormalities - diagnosis; Emergencies; Gastric Fundus - pathology; Gastric Mucosa - abnormalities; Gastrointestinal Hemorrhage - etiology; Gastrointestinal Hemorrhage - surgery; Gastroscopy; Hemostasis, Surgical - instrumentation; Hemostasis, Surgical - methods; Humans; Male; Melena - etiology; Surgical Instruments
• ISSN: 0930-2794; 1432-2218
• DOI: 10.1007/s00464-003-4200-6

Dieulafoy's lesion is an uncommon cause of major gastrointestinal bleeding and may be difficult to recognize. It consists of an arteriole that protrudes through a tiny mucosal defect usually within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. Despite widespread awareness of this entity, it remains a diagnostic challenge for gastroenterologists because of its small size and hidden location. Emergency endoscopy is the most effective method of diagnosing the disease. We report a patient, with double Dieulafoy-like lesion, who was successfully treated endoscopically using hemostatic clip application. The characteristics of the Dieulafoy's lesion, its current diagnosis, and its treatment are discussed.