Subscribe to RSS
DOI: 10.1055/s-0041-1724634
Recurrent Digestive Bleeding: The Essential Is Invisible To The Eyes
A 58-year-old woman presented with melena and a hemoglobin of 10.6 g/dL. Esophagogastroduodenoscopy (OGD), colonoscopy and capsule endoscopy were unremarkable. Three weeks later, she was readmitted due to hematochezia and lipothymia. Abdominopelvic Angio-CT highlighed an 8 mm hypervascular nodular image in the duodenal bulb, originating from the gastroduodenal artery. Duodenoscopy revealed a protruding lesion with a central erosion, located on the upper wall of the bulb, immediately distal to the pylorus. Attempted hemostasis with hemoclips failed due to unfavourable endoscopic access and resulted in intermittent pulsatile bleeding. The patient underwent sucessful endovascular embolization of the Dieulafoy’s lesion with coils.
Citation Martins Figueiredo L, Correia F, Alexandrino G et al. eP138V RECURRENT DIGESTIVE BLEEDING: THE ESSENTIAL IS INVISIBLE TO THE EYES. Endoscopy 2021; 53: S142.
#
Publication History
Article published online:
19 March 2021
© 2021. European Society of Gastrointestinal Endoscopy. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany