Dieulafoy's lesion of the anal canal: Report of a case
Küçük Resim Yok
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Soc Gastroenterology
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background/aims: Dieulafoy's lesion of the anal canal is a very rare clinical case. Although it was first described in the stomach, there has been an increasing frequency, especially in the last decade, of reports of the lesion in the colorectal region. Methods: Herein, we report one case presenting with massive hematochezia requiring multiple blood transfusions due to a Dieulafoy's lesion in the anal canal. To our knowledge, this is the fourth case in Medline. Surgical oversewing was attempted twice but rebleeding occurred, and local excision through the anal canal was performed. Results: The patient was treated successfully with mucosectomy including the lesion. Conclusions: Sclerotherapy, alcohol and epinephrine injection, thermocoagulation and selective arterial embolization are the options of therapeutic endoscopy and interventional radiology. As for surgical management, oversewing is an alternative technique. However, in our opinion, because of the recurrent and life-threatening manner of this arterial bleeding pattern, local excision, if possible, is the most reliable management of the disease.
Açıklama
Anahtar Kelimeler
Dieulafoy's lesion, gastrointestinal hemorrhage, anal canal
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
18
Sayı
4
