ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Non-variceal upper gastrointestinal bleeding from a dieulafoy lesion


Introduction. Dieulafoy’s disease is an abnormal arterial flow that typically occurs in a gastric cavity underneath the mucous membrane and has an unusual course. It is uncommon, representing 5% of the non-variceal higher-order hemorrhages, and is associated with high morbidity and mortality.
Case presentation. We describe the case of a 47-year-old female patient with a family history of pulmonary fibrosis from her father and psoriasis from her mother. Without any significant prior medical history, the patient presented to the Emergency Department with epigastric abdominal pain accompanied by nausea and vomiting twice while drinking coffee, melodramatic evacuations, and a loss of alertness. The patient was given a blood transfusion at the hospital due to low hemoglobin. The left gastric artery was angiographically evaluated and embolized during the radiological intervention, revealing a Dieulafoy lesion. The procedure was executed without any complications, with symptoms remission. There were no symptoms’ recurrence, and the clinical evolution of the patient was good.
Conclusions. Dieulafoy’s lesion is rare but must be considered in the differential diagnosis of gastrointestinal bleeding. The management by radiological or endoscopic techniques is recommended when possible.
Keywords: gastrointestinal bleeding, hematemesis, melena, Dieulafoy lesions.

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Address for correspondence:
Jeannett Alejandra IZQUIERDO-VEGA
Academic Area of Medicine, Institute of Health Sciences, Autonomous University of the State of Hidalgo, Mexico.
Address: Pachuca-Actopan Highway, San Agustin Tlaxiaca CP 42160 Hgo., Mexico


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Arriaga-Rojas A, García-Córdova OM, Arzate-Muñoz SA, Sánchez-Gutiérrez M, Izquierdo-Vega JA. Non-variceal upper gastrointestinal bleeding from a Dieulafoy lesion. Arch Balk Med Union. 2023;58(4):393-396.