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Dieulafoy-like lesion of the colon presenting with massive lower gastrointestinal bleeding

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Abstract

The Dieulafoy’s lesion is a rare cause of severe gastrointestinal hemorrhage. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. It is characterized by severe bleeding from a minute submucosal arteriole that bleeds through a punctate erosion in an otherwise normal mucosa. We describe an elderly patient who presented with severe lower gastrointestinal bleeding caused by a colonic Dieulafoy-like lesion. This is the third report of colonic Dieulafoy’s lesion treated successfully with endoscopic hemoclipping. We review the pathophysiology, clinical presentation, diagnosis, and treatment of this rare disease.

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Authors and Affiliations

  1. Department of Endoscopy and Motility Unit, General Hospital “George Gennimatas,”, Ethnikis Aminis 41, TK 546 35, Thessaloniki, Greece

    P. Katsinelos, I. Pilpilidis, G. Paroutoglou, I. Galanis, P. Tsolkas, G. Fotiadis, P. Kapelidis, E. Georgiadou, S. Baltagiannis, S. Dimiropoulos, E. Kamperis & C. Koutras

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  1. P. Katsinelos
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  2. I. Pilpilidis
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  3. G. Paroutoglou
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  4. I. Galanis
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Correspondence to P. Katsinelos.

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Katsinelos, P., Pilpilidis, I., Paroutoglou, G. et al. Dieulafoy-like lesion of the colon presenting with massive lower gastrointestinal bleeding . Surg Endosc 18, 346 (2004). https://doi.org/10.1007/s00464-003-4229-6

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  • DOI: https://doi.org/10.1007/s00464-003-4229-6

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