Skip to main content
SpringerLink
Log in

Dieulafoy’s Disease in Stomach and Duodenum-Recurrent Upper Gastrointestinal Bleeding

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Dieulafoy’s disease is a rare and important cause of recurrent upper gastrointestinal bleeding, which can cause fatal gastrointestinal bleeding. We reported a patient with Dieulafoy’s disease in both of the stomach and duodenum for the first time. The patient achieved no effective hemostasis after two endoscopic treatments and two arterial angiography embolizations. Finally, successful hemostasis was achieved through surgery. There are many endoscopic treatment methods, but there is no consensus on the best treatment for hemorrhagic Dieulafoy’s disease. Surgery is only a last resort after the failure of endoscopic treatment and angiography embolization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data Availability

This case report contains clinical data from the electronic medical record in the Central Hospital Affiliated to Shandong First Medical University. Additional information is available from the corresponding author on reasonable request from the editor.

References

  1. Yuk Tong Lee (2003) Russell S Walmsley, Rupert W L Leong, Joseph J Y Sung. Dieulafoy’s lesion. Gastrointest Endosc 58(2):236–43

    PubMed  Google Scholar 

  2. Baxter M, Aly EH (2010) Dieulafoy’s lesion: current trends in diagnosis and management. Ann R Coll Surg Engl 92(7):548–54

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Dadhania D, Valakkada J, Ayyappan A, Kannath S (2022) Role of imaging and endovascular radiology in endoscopically missed Dieulafoy’s lesion of stomach - a case report with review. Endoscopy 54(4):E153

    Google Scholar 

  4. Inayat F, Amjad W, Hussain Q, Hurairah A (2018) Dieulafoy's lesion of the duodenum: a comparative review of 37 cases. BMJ Case Rep 2018:bcr2017223246

  5. Goldenberg SP, DeLuca VA Jr, Marignani P (1990) Endoscopic treatment of Dieulafoy’s lesion of the duodenum. Am J Gastroenterol 85(4):452–4

    CAS  PubMed  Google Scholar 

  6. Jeon HK, Kim GH (2015) Endoscopic management of Dieulafoy’s lesion. Clin Endosc 48(2):112–20

    Article  PubMed  PubMed Central  Google Scholar 

  7. Alva S, Abir F, Tran DD (2006) Laparoscopic gastric wedge resection for Dieulafoy’s disease following preoperative endoscopic localization with India ink and endoscopic clips. JSLS 10(2):244–6

Download references

Funding

This work was supported by the academic promotion program of Shandong First Medical University (No. 2019QL024).

Author information

Authors and Affiliations

  1. Intensive Care Unit, Central Hospital Affiliated to Shandong First Medical University, 105 Jiefang Road, Jinan, 250013, Shandong, People’s Republic of China

    Guang-sheng Gao, Feng-qin Ren, Xing-sheng Wang & Yun Li

  2. Department of Emergency Medicine, Fuyang People’s Hospital, Fuyang, 236012, Anhui, China

    Xin-xin Zhang

Authors
  1. Guang-sheng Gao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Feng-qin Ren
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xin-xin Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Xing-sheng Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yun Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yun Li.

Ethics declarations

Ethics Approval and Consent to Participate

Not applicable.

Consent for Publication

Not applicable.

Competing Interests

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gao, Gs., Ren, Fq., Zhang, Xx. et al. Dieulafoy’s Disease in Stomach and Duodenum-Recurrent Upper Gastrointestinal Bleeding. Indian J Surg 85, 1464–1466 (2023). https://doi.org/10.1007/s12262-023-03735-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-023-03735-x

Keywords

Search

Navigation