Dieulafoy lesions as cause of upper gastrointestinal bleeding in a patient with portal hypertension
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center..
Dieulafoy's lesion is an abnormally large and tortuous submucosal artery that protrudes through a small mucosal defect resulting in gastrointestinal bleeding. We present a case of a 53-year-old man with a history of HIV and alcohol abuse who presented to the emergency room with hematemesis and melena. Upper endoscopy revealed an actively bleeding dieulafoy lesion, but due to uncontrolled bleeding, embolization of the left artery was necessitated. The incidence of dieulafoy lesions is about 0.3% to 6.7% within the stomach. The etiology remains uncertain but has been linked to alcoholism and antiplatelet drugs. We are emphasizing the importance of considering uncommon causes of upper gastrointestinal bleeding in patients with portal hypertension.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
Journal of community hospital internal medicine perspectives - 11(2021), 1 vom: 26. Jan., Seite 94-95 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Malik, Fahad [VerfasserIn] |
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| Links: |
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| Themen: |
Cirrhosis |
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| Anmerkungen: |
Date Revised 10.02.2021 published: Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1080/20009666.2020.1824331 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM321129490 |
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| 520 | |a © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. | ||
| 520 | |a Dieulafoy's lesion is an abnormally large and tortuous submucosal artery that protrudes through a small mucosal defect resulting in gastrointestinal bleeding. We present a case of a 53-year-old man with a history of HIV and alcohol abuse who presented to the emergency room with hematemesis and melena. Upper endoscopy revealed an actively bleeding dieulafoy lesion, but due to uncontrolled bleeding, embolization of the left artery was necessitated. The incidence of dieulafoy lesions is about 0.3% to 6.7% within the stomach. The etiology remains uncertain but has been linked to alcoholism and antiplatelet drugs. We are emphasizing the importance of considering uncommon causes of upper gastrointestinal bleeding in patients with portal hypertension | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Dieulafoy’s lesions | |
| 650 | 4 | |a cirrhosis | |
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| 650 | 4 | |a upper gastrointestinal bleeding | |
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| 700 | 1 | |a Chaudhari, Shobhana |e verfasserin |4 aut | |
| 700 | 1 | |a Khan, Ali Tariq |e verfasserin |4 aut | |
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