Year 2020 / Volume 112 / Number 10
Letter
Radio-endoscopic diagnosis of Dieulafoy’s lesion in a duodenal diverticulum

816-817

DOI: 10.17235/reed.2020.7145/2020

Aurora Gil Bernal, Ignacio Garrido Lombardo, Juan Martín Guerrero,

Abstract
We report the case of a patient with a Dieulafoy lesion within a duodenal diverticulum, showing the radiographic images. In this case the use of radiological techniques was of great help for diagnosis, bearing in mind that bleeding from this lesion may be intermittent and had not been revealed by the first endoscopic procedure. Since strong clinical suspicion persisted of active upper GI bleeding an angio-CT scan was performed, which allowed to orient diagnosis and rule out other causes of bleeding inaccessible to endoscopy.
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References
De Benito Sanz M, Cimavilla Román M, Torres Yuste R. A Dieulafoy’s lesion in a duodenal diverticulum. An infrequent cause of UGIB. Rev Esp Enferm Dig 2018;110(4):266-7. DOI: 10.17235/reed.2018.5396/2017
Ibáñez A, Castro E, Fernández E, et al. Aspectos clínicos y tratamiento endoscópico de la hemorragia digestiva por lesión de Dieulafoy. Rev Esp Enferm Dig 2007;99:505-10. DOI: 10.4321/S1130-01082007000900005
Batouli A, Kazemi A, Hartman MS, et al. Dieulafoy lesion: CT diagnosis of this lesser-known cause of gastrointestinal bleeding. Clin Radiol 2015;70(6):661-6. DOI: 0.1016/j.crad.2015.02.005
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Gil Bernal A, Garrido Lombardo I, Martín Guerrero J. Radio-endoscopic diagnosis of Dieulafoy’s lesion in a duodenal diverticulum. 7145/2020


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Publication history

Received: 15/04/2020

Accepted: 23/04/2020

Online First: 21/09/2020

Published: 07/10/2020

Article Online First time: 159 days

Article editing time: 175 days


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