Kazım Şenol, Murat Ferhat Ferhatoğlu, Ahmet Erdoğan, Hikmet Pehlevan, Osman Yıldırım

An unusual cause of hemorrhagic shock: gastric Dieulafoy’s lesion

Dieulafoy's lesion (DL) related massive gastrointestinal bleeding is a rare and mortal health condition. DL isa superficial vascular lesion of the gastric mucose that is mostly located in the proximal part of the stomachwhich is difficult to diagnose. Endoscopy is a safe and effective method for diagnosis and treatment. However,emergency surgery should be essential for diagnosis and treatment. Here we present a succesfull clinical andsurgical management of a case with massive gastrointestinal bleeding related to gastric DL.

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[1] Baxter M, Aly EH. Dieulafoy's lesion: current trends in diagnosis and management. Ann R Coll Surg Eng 2010;92:548-54.
[2] Norton ID, Petersen BT, Sorbi D, Balm RK, Alexander GL, Gostout CJ. Management and long-term prognosis of Dieulafoy lesion. Gastrointest Endosc 1999;50:762-7.
[3] Chaer RA, Helton WS. Dieulafoy's disease. J Am Coll Surg 2003;196:290-6.
[4] Veldhuyzen van Zanten SJ, Bartelsman JF, Schipper ME, Tytgat GN. Recurrent massive haematemesis from Dieulafoy vascular malformations--a review of 101 cases. Gut 1986;27:213-22.
[5] al-Mishlab T, Amin AM, Ellul JP. Dieulafoy's lesion: an obscure cause of GI bleeding. J R Coll Surg of Edinb 1999;44:222-5.
[6] Strong RW. Dieulafoy's disease--a distinct clinical entity. Aust N Z J Surg 1984;54:337-9.
[7] Romaozinho JM, Pontes JM, Lerias C, Ferreira M, Freitas D. Dieulafoy's lesion: management and long-term outcome. Endoscopy 2004;36:416-20.
[8] Lee YT, Walmsley RS, Leong RW, Sung JJ. Dieulafoy's lesion. Gastrointest Endosc 2003;58:236-43.
[9] Jamanca-Poma Y, Velasco-Guardado A, Pinero-Perez C, CalderonBegazo R, Umana-Mejia J, Geijo-Martinez F, et al. Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy's lesion. World J Gastroenterol 2012;18):5734-8.
[10] Alshumrani G, Almuaikeel M. Angiographic findings and endovascular embolization in Dieulafoy disease: a case report and literature review. Diagn Interv Radiol 2006;12:151-4.
[11] Ding YJ, Zhao L, Liu J, Luo HS. Clinical and endoscopic analysis of gastric Dieulafoy's lesion. World J Gastroenterol 2010;16:631-5.
[12] Beyazit Y, Dişibeyaz S, Suvak B, Purnak T, Torun S, Parlak E. [Evaluation of treatment results among patients with acute gastrointestinal bleeding due to Dieulafoy’s lesion admitted to the emergency department] Ulus Travma Acil Cerrahi Derg 2013;19:133-9. [Article in Turkish]
[13] Hoffman A, Kunert A, Lahat A, Volkov A, Zmora O, Rosin D. Laparoscopic resection of gastric Dieulafoy lesion following preoperative tattooing. Isr Med Assoc J 2011;13:187-8.
[14] Sai Prasad TR, Lim KH, Lim KH, Yap TL. Bleeding jejunal Dieulafoy pseudopolyp: capsule endoscopic detection and laparoscopicassisted resection. J Laparoendosc Adv Surg Tech A 2007;17:509-12.