Gastric Dieulafoy's lesion in an elderly man with comorbidities: A case report

Ibrahim Alnashri, Abdullah Aljohani, Mohamed Eldemouhi

Abstract

Dieulafoy's lesion (DL) is an abnormal, enlarged (approximately 13mm) and tortious submucosal artery in the gastrointestinal tract wall. Herein, we report a case of recurrent bleeding from a gastric fundus DL in a 59-year-old man who presented with a history of melena associated with dizziness and palpitations. Esophagogastroduodenoscopy revealed a tortuous, dilated vessel in the gastric fundus. Computed tomography angiography revealed an aberrant vessel branching from the celiac artery. Surgery was performed, resulting in complete resolution of the patient’s symptoms. DL is a rare but life-threating cause of gastrointestinal haemorrhage and should be considered in the differential diagnosis.
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