Dieulafoy’s Lesion, a Cause of Gastrointestinal Bleeding: A Case Report
Ahmed Lutful Moben
Department of Hepatology, Kurmitola General Hospital, Dhaka, Bangladesh.
Rokshana Begum
Department of Hepatology, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
Sheikh Mohammad Noor E Alam
Department of Hepatology, Bangladesh Medical University, Dhaka, Bangladesh.
Md. Abdur Rahim
Department of Hepatology, International Medical College, Gazipur, Bangladesh.
Mamun Al Mahtab *
Department of Hepatology, Bangladesh Medical University, Dhaka, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Dieulafoy’s lesion is a rare but important cause of gastrointestinal bleeding as it may be life-threatening at times. This condition accounts for 1-2% of all gastrointestinal bleedings. The diagnosis is often challenging due to intermittent nature of bleeding and may require repeated investigations, before a diagnosis can finally be attained. If ignored for long duration Dieulafoy’s lesion necessities repeated blood transfusions and may confuse diagnosis with inflammatory bowel disease. Approach to Dieulafoy’s lesion may require repeated upper gastrointestinal tract endoscopies with biopsies as well use of antibacterial, antiprotozoal and antiviral medications among others. Here we report a case of Dieulafoy’s lesion from Bangladesh.
Keywords: Dieulafoy’s lesion, gastrointestinal bleeding, endoscopy of upper gastrointestinal tract, argon plasma coagulation