Case Report: Lower Gastrointestinal Bleeding in Dieulafoy’s Ulcer

In this case report, an 82-year-old woman with hypertension and cerebral infarction was admitted to the hospital with hematochezia. A colonoscopy found a small, reddish vascular malformation in the cecum that as suggestive of Dieulafoy’s ulcer.

Dieulafoy’s ulcer is a rare disease that is often found in the stomach. The authors state that it is thought to cause approximately 5% of all gastrointestinal bleeds in adults. It can cause life-threatening hemorrhage.

The ulcer as treated with endoscopic clips and the patient was discharged without experiencing additional bleeding.

The authors concluded that endoscopy is a useful method for diagnosing and treating Dieulafoy’s ulcer.

Reference

Kinoshita K, Matsunari O, Sonoda A, et al. A case of the lower gastrointestinal bleeding due to Dieulafoy’s ulcer in the cecum. Clin J Gastroenterol. 2020;[Online ahead of print]. DOI: 10.1007/s12328-020-01109-4.