Work

Dieulafoy lesion with rare vascular complications: diagnostic and therapeutic approach

Year: 2024

Type: article

Abstract: Dieulafoy lesions are a rare cause of gastrointestinal bleeding, characterized by an enlarged submucosal blood vessel that bleeds without visible abnormalities. The diagnosis is typically made via endoscopy, and treatment usually involves endoscopic therapy. This case involves a 46-year-old female who presented with upper gastrointestinal bleeding due to a Dieulafoy's lesion, treated with band ligation and later embolization after the lesion was found to originate from the left phrenic artery. The patient developed rare complications, including splenic infarction and pleural effusion, which required additional management. Upon initial investigations, the patients had an accidental finding on computed tomography of asymptomatic celiac artery compression that was advised to take into consideration for the possibility of developing median arcuate ligament syndrome and was treated conservatively. The case highlights the diagnostic and therapeutic challenges of Dieulafoy's lesion and underscores the need for individualized treatment and further research.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjae750

Authors: Qusay Abdoh, Enas Samara, Alaa Zayed, Mohammed Khader, Iyad Maqboul, Mohammed A M Rashed

Institution: An-Najah National University

Language: English

Topic: Gastrointestinal Bleeding Diagnosis and Treatment

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,050