Dieulafoy's lesion in the rectum
1996; Elsevier BV; Volume: 43; Issue: 2 Linguagem: Inglês
10.1016/s0016-5107(96)81596-3
ISSN1097-6779
Autores Tópico(s)Esophageal and GI Pathology
ResumoDieulafoy's lesion is an uncommon but potentially life-threatening source of gastrointestinal bleeding, named after the French surgeon who characterized it in 1898. 1 Dieulafoy G Exulceratio simplex. L'intervention chirurgicale dans les hématéméses foudroyantes consécutives á l'exulceration simple de l'estomac. Bull Acad Méd. 1898; 49 (quoted from reference 2): 49-84 Google Scholar The typical lesion is an abnormally large submucosal muscular artery that protrudes through a solitary, small mucosal defect, most commonly in the proximal stomach. It ruptures spontaneously and bleeds massively for unclear reasons. Microscopic examination of the lesion reveals no evidence of aneurysm formation, atherosclerosis, arteritis, or surrounding inflammation. Although the original descriptions and early reports were of lesions in the proximal stomach, 1 Dieulafoy G Exulceratio simplex. L'intervention chirurgicale dans les hématéméses foudroyantes consécutives á l'exulceration simple de l'estomac. Bull Acad Méd. 1898; 49 (quoted from reference 2): 49-84 Google Scholar , 2 Veldhuyzen van Zanten SJO Bartelsman JFWM Schipper MEI Tytgat GNJ Recurrent massive hematemesis from Dieulafoy vascular malformations—a review of 101 cases. Gut. 1986; 27: 213-222 Crossref PubMed Scopus (217) Google Scholar , 3 Reilly HF Al-Kawas FH Dieulafoy's lesion: diagnosis and management. Dig Dis Sci. 1991; 36: 1702-1707 Crossref PubMed Scopus (129) Google Scholar similar lesions have subsequently been reported in the esophagus, 4 Bozkurt TP Lederer CP Lux G Esophageal visible vessel as a cause of massive upper gastrointestinal hemorrhage. Endoscopy. 1991; 23: 16-18 Crossref PubMed Scopus (10) Google Scholar , 5 Rabago L Mora P Gea F Martinez P Ruiperez J Campos R An unusual source of gastrointestinal bleeding from the esophagus: two new cases of esophagus visible vessel. Endoscopy. 1993; 25: 197-198 Crossref PubMed Scopus (6) Google Scholar duodenum, 6 McClave SA Goldschmid S Cunningham JT Boyd WP Dieulafoy's cirsoid aneurysm of the duodenum. Dig Dis Sci. 1988; 33: 801-805 Crossref PubMed Scopus (49) Google Scholar , 7 Pollack R Lipsky H Goldberg RI Duodenal Dieulafoy's lesion. Gastrointest Endosc. 1993; 39: 820-822 Abstract Full Text PDF PubMed Scopus (20) Google Scholar jejunum, 8 Rathmel RK Horwell RJ Greeley JP Congenital aneurysm of the jejeunum producing fatal intestinal hemorrhage. Arch Pathol. 1951; 51: 461-465 Google Scholar , 9 Matuchansky C Babin P Abadie JC et al. Jejunal bleeding from a solitary large submucosal artery. Gastroenterology. 1978; 75: 110-113 PubMed Scopus (73) Google Scholar colon, 10 Barbier P Luder P Triller J Ruchti Ch Hassler H Stafford A Colonic hemorrhage from a solitary minute ulcer. Report of three cases. Gastroenterology. 1985; 88: 1065-1068 PubMed Scopus (74) Google Scholar , 11 Richards WO Grove-Mahoney D Williams LF Hemorrhage from a Dieulafoy-like lesion in the colon: a new cause of lower gastrointestinal bleeding. Am Surg. 1988; 54: 121-124 PubMed Google Scholar and rectum. 12 Franko E Chardavoyne R Wise L Massive rectal bleeding from a Dieulafoy's type ulcer of the rectum: a review of this unusual disease. Am J Gastroenterol. 1991; 86: 1545-1547 PubMed Google Scholar , 13 Abdulian JD Santoro MJ Chen YK Collen MJ Dieulafoy-like lesion of the rectum presenting with exsanguinating hemorrhage: successful endoscopic sclerotherapy. Am J Gastroenterol. 1993; 88: 1939-1941 PubMed Google Scholar
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