Dieulafoy’s lesion of the rectum: a case report and review of the literature

Abstract

One patient with Dieulafoy’s lesion (DL) of the rectum who had a history of anal receptive intercourse is described and the relevant literature reviewed. DL is rare in clinical practice and is extremely rare in the rectum. It often affects patients with no history of cirrhosis or gastrointestinal disease and occurs with abrupt or recurrent gastrointestinal bleeding. Visible vessels can usually be found by endoscopy and coinstantaneous treatments are essential while surgical interventions can occur when necessary. The diagnosis of DL is mainly based on clinical manifestations and endoscopic features, and endoscopic treatment is the first option for hemostasis.

• References

• 1 Jeon HK, Kim GH. Endoscopic management of Dieulafoy’s lesion. Clin Endosc 2015; 48: 112-120
• 2 Shin HJ, Ju JS, Kim KD. et al. Risk factors for Dieulafoy lesions in the upper gastrointestinal tract. Clin Endosc 2015; 48: 228
• 3 Baxter M, Aly EH. Dieulafoy’s lesion: current trends in diagnosis and management. Ann R Coll Surg Engl 2010; 92: 548-554
• 4 Dogan U, Gomceli I, Koc U. et al. Rectal dieulafoy lesions: a rare etiology of chronic lower gastrointestinal bleeding. Case Rep Med 2014; 180230
• 5 Chaer RA, Helton WS. Dieulafoy’s disease. J Am Coll Surg 2003; 196: 290-296
• 6 Veldhuyzen van Zanten SJ, Bartelsman JF, Schipper ME. et al. Recurrent massive haematemesis from Dieulafoy vascular malformations: a review of 101 cases. Gut 1986; 27: 213-222
• 7 Holleran G, Hussey M, Mcnamara D. Small bowel Dieulafoy lesions: An uncommon cause of obscure bleeding in cirrhosis. World J Gastrointest Endosc 2016; 8: 568
• 8 Barbier P, Luder P, Triller J. et al. Colonic hemorrhage from a solitary minute ulcer: report of three cases. Gastroenterology 1985; 88: 1065-1068
• 9 Lara LF, Sreenarasimhaiah J, Tang SJ. et al. Dieulafoy lesions of the GI tract: localization and therapeutic outcomes. Dig Dis Sci 2010; 55: 3436-3441
• 10 Nguyen DC, Jackson CS. The Dieulafoy’s lesion: An update on evaluation, diagnosis, and management. J Clin Gastroenterol 2015; 49: 541-549
• 11 Apiratpracha W, Ho JK, Powell JJ. et al. Acute lower gastrointestinal bleeding from a dieulafoy lesion proximal to the anorectal junction post-orthotopic liver transplant. World J Gastroenterol 2006; 12: 7547-7548
• 12 Al-Mishlab T, Amin AM, Ellul JP. Dieulafoy’s lesion: an obscure cause of GI bleeding. J R Coll Surg Edinb 1999; 44: 222-225
• 13 Nunoo-Mensah JW, Alkari B, Murphy GJ. et al. Rectal Dieulafoy lesions. J Am Coll Surg 2008; 206: 388-389
• 14 Lee YT, Walmsley RS, Leong RW. et al. Dieulafoy’s lesion. Gastrointest Endosc 2003; 58: 236-243
• 15 Chung I-K, Kim E-J, Lee M-S. et al. Bleeding Dieulafoy’s lesions and the choice of endoscopic method: comparing the hemostatic efficacy of mechanical and injection methods. Gastrointest Endosc 2000; 52: 721-724
• 16 Vila JJ, Perez-Miranda M, Basterra M. et al. Endoscopic ultrasound-guided therapy of a rectal Dieulafoy lesion. Endoscopy 2014; 46 (Suppl. 01) E84-E85
• 17 Alshumrani G, Almuaikeel M. Angiographic findings and endovascular embolization in Dieulafoy disease: a case report and literature review. Diagn Interv Radiol 2006; 12: 151-154