TITLE:
Dieulafoy’s Lesion of the Duodenum: The Management of This Unusual Location
AUTHORS:
Rajae Bounour, Amal Mejait, Maria Lahlali, Asmae Lamine, Hakima Abid, Hakima Abid, Amine Mekkaoui, Mounia Elyousfi, Dafrallah Benajeh, Mohamed El Abkari, Sidi Adil Ibrahimi, Nada Lahmidani
KEYWORDS:
Dieulafoy’s Lesion, Endoscopy, Hemostatic Clips
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.11 No.7,
July
20,
2022
ABSTRACT: Dieulafoy lesion (DL) is a rare source of gastrointestinal tract bleeding that can affect any site of the gastrointestinal tract, particularly the stomach and less commonly the duodenum. Early endoscopy during a bleeding episode is essential for an accurate diagnosis and sometimes multiple endoscopies are needed to establish the diagnosis. In this report, we describe a case of duodenal DL detected and treated by endoscopy. We report the case of a 65-year-old patient admitted for massive upper gastrointestinal bleeding due to a Dieulafoy lesion of the duodenum. Endoscopic diagnosis and treatment were possible and hemostasis was achieved by injecting adrenaline and placing 3 clips. Various effective endoscopic techniques are available to control bleeding, the combination of injection therapy and mechanical therapy reduces the risk of recurrence.