Yeungnam Univ J Med.  2017 Jun;34(1):88-90. 10.12701/yujm.2017.34.1.88.

Massive bleeding from a rectal Dieulafoy lesion in a patient with alcoholic cirrhosis

• Choi YH
• Eun JR
• Han JH
• Lim H
• Shin JA
• Lee GH
• Lee SH

• KMID: 2400335
• DOI: http://doi.org/10.12701/yujm.2017.34.1.88

Abstract

Although Dieulafoy lesion can occur in any part of the gastrointestinal tract, its occurrence in the rectum is rare. Rectal Dieulafoy lesions have been associated with advanced age, renal failure, burns, liver transplantation and cirrhosis. Here, we report on a case of massive bleeding from a rectal Dieulafoy lesion after lung decortication surgery in a 57-year-old male patient with alcoholic cirrhosis. Although rare, a rectal Dieulafoy lesion should be included in the differential diagnosis of massive lower gastrointestinal bleeding in a patient with cirrhosis.

Keyword

Dieulafoy lesion; Rectum; Liver cirrhosis

MeSH Terms

Alcoholics*
Burns
Diagnosis, Differential
Fibrosis
Gastrointestinal Tract
Hemorrhage*
Humans
Liver Cirrhosis
Liver Cirrhosis, Alcoholic*
Liver Transplantation
Lung
Male
Middle Aged
Rectum
Renal Insufficiency