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Page 49
N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
Joint Event on
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Surgery and Anesthesia 2018 & Euro Gastro Congress 2018
Case Reports in Surgery and Invasive Procedures
|
Volume 2
&
GASTROENTEROLOGY
3
rd
International Conference on
SURGERY AND ANESTHESIA
International Conference on
Case Rep Surg Invasive Proced 2018, Volume 2
COMBINED MANAGEMENT APPROACH FOR GASTRIC & EXTRA-GASTRIC
DIEULAFOY’S LESIONS
Mohamed A A Bassiony
Zagazig University, Egypt
D
ieulafoy’s lesions are under diagnosed and with considerable rate of re-bleeding. They are common causes of obscure gastroin-
testinal bleeding. These are 3 cases of Dieulafoy’s lesion, one gastric & two are extra-gastric. The first case was an 11-year-old
girl presented by recurrent hematemesis & melena. She was secured by endoscopic banding after adrenaline injection. The second
case was a 19-year-old male who had multiple recurrent attacks of melena. Initial upper endoscopy was normal but angiography
showed contrast extravasation at the first part of duodenum secured by coil embolization but another bleeding episode occurred 3
weeks later from an aberrant nearby vessel that was secured by endoscopic hemoclipping. The third patient was a 47- year-old man
presented by hematochezia. Colonoscopy showed oozing from an aberrant vessel in the descending colon secured by endoscopic
argon plasma coagulation and hemoclipping. Two days later, all three patients underwent endoscopic ultrasonography (EUS) which
confirmed complete hemostasis.
Conclusions:
GI endoscopy plus angiography followed by EUS is an effective approach for a better management (diagnosis, treat-
ment & follow up) of bleeding Dieulafoy’s lesions with a markedly lower rate of recurrence & mortality.