Melena Secondary to Duodenal Dieulafoy’s Lesion: A Rare Case Report
Melena is one of the presenting feature of Upper Gastrointestinal Bleeding (UGIB). Melena due to Dieulafoy’s lesion in the duodenum is one of the obscure causes of Gastrointestinal Bleeding (GIB) and is a rare but life threatening entity. We report a unique case of Dieulafoy’s lesion in a 74-year-...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10908/28515-CE(RA1)_F(GG)_(PK_PrG_GG)_PFA(MJ_AP).pdf |
| Summary: | Melena is one of the presenting feature of Upper Gastrointestinal Bleeding (UGIB). Melena due to Dieulafoy’s lesion in the duodenum
is one of the obscure causes of Gastrointestinal Bleeding (GIB) and is a rare but life threatening entity. We report a unique case of
Dieulafoy’s lesion in a 74-year-old male patient with premorbid condition of diabetes who presented with two episodes of blackish
coloured stools, filling up the entire toilet bowl. No other symptoms of either abdominal pain, vomiting of blood, fever or any intake
of medications were noted. Upper Gastro-Intestinal (UGI) endoscopy revealed abnormal vessels at D1/D2 of C loop duodenum with
normal mucosa consistent with Dieulafoy’s lesion along with active bleeding. Haemoclips were applied to the duodenal Dieulafoy’s
lesion and patient recovered well. This case was reported for the first time from Malaysia. |
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| ISSN: | 2249-782X 0973-709X |