Gastric bleeding due to Dieulafoy's lesion, successfully treated by endoscopic hemoclipping
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GHIDIRIM, Gheorghe, MISHIN, Igor, GUTSU, Eugene, DOLGHII, Andrei. Gastric bleeding due to Dieulafoy's lesion, successfully treated by endoscopic hemoclipping. In: Romanian Journal of Gastroenterology, 2003, nr. 2(12), pp. 131-133. ISSN 1221-4167.
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Romanian Journal of Gastroenterology
Numărul 2(12) / 2003 / ISSN 1221-4167

Gastric bleeding due to Dieulafoy's lesion, successfully treated by endoscopic hemoclipping


Pag. 131-133

Ghidirim Gheorghe12, Mishin Igor12, Gutsu Eugene12, Dolghii Andrei12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Municipal Clinical Emergency Hospital
 
 
Disponibil în IBN: 22 iulie 2020


Rezumat

Dieulafoy's lesion is a rare arterial malformation, which may produce massive gastrointestinal hemorrhage. Most commonly, the lesion occurs in the proximal part of the stomach. We present the case report of a 59-year-old man who was admitted to our emergency unit with massive hematemesis. Urgent endoscopic examination revealed a Dieulafoy's lesion with spurting bleeding, which was located in the proximal part of the stomach. Bleeding was successfully stopped by endoscopic hemoclipping without any further recurrence. Follow-up endoscopy performed 3 days later showed that the hemoclips became detached, and the protruding artery disappeared. The patient was discharged 4 days after primary endoscopic procedure without any complications. There was no recurrence of the bleeding during the 12 months of observation. Thus, we found that hemoclipping represents an alternative method of achieving endoscopic hemostasis in Dieulafoy's lesions

Cuvinte-cheie
Dieulafoy’s lesion, endoscopic hemoclipping, gastric bleeding