Korean J Gastrointest Endosc.  2010 Jan;40(1):45-48.

A Case of Transparent Cap-fitted Endoscopic Hemoclipping on a Bleeding Dieulafoy's Lesion in the Ampulla of Vater

• Koo HS
• Kim YS
• Kim GI
• Yang JK
• Kim SM
• Cheon SY
• Sun JH
• Kim SM

Abstract

Dieulafoy's lesion is a rare cause of repetitive and massive gastrointestinal bleeding, and this is characterized by an isolated arteriole protruding through a small mucosal defect. Dieulafoy's lesion is generally found in the stomach within 6 cm of the gastroesophageal junction, and usually on the lesser curvature, but many lesions have been reported in extragastric locations, including the esophagus, small bowel and rectum. A Dieulafoy's lesion in the ampulla of Vater is extremely rare, and only one such case has been reported in the Korean population. We experienced a rare case of Dieulafoy's lesion in the ampulla of Vater with massive pulsatile bleeding, and this was successfully treated by transparent cap-assisted endoscopic hemoclipping. We report here on this case with a review of the relevant literature.

Keyword

Dieulafoy's lesion; Ampulla of Vater; Gastrointestinal bleeding; Endoscopic hemoclipping

MeSH Terms

Ampulla of Vater
Arterioles
Esophagogastric Junction
Esophagus
Hemorrhage
Rectum
Stomach