BACKGROUND: Dieulafoy's lesion is a rare cause of gastrointestinal haemorrhage. It has traditionally been treated either endoscopically or with open surgery. AIM: To describe a case treated by arterial embolization. RESULTS: Initially the patient was embolized with Gelfoam pledgets but re-bled at 7 days, the procedure was repeated with fibre coils, there was no further bleeding. CONCLUSION: Arterial embolization is being used increasingly as a first line of treatment as it is fast and minimally invasive with few complications.
BACKGROUND: Dieulafoy's lesion is a rare cause of gastrointestinal haemorrhage. It has traditionally been treated either endoscopically or with open surgery. AIM: To describe a case treated by arterial embolization. RESULTS: Initially the patient was embolized with Gelfoam pledgets but re-bled at 7 days, the procedure was repeated with fibre coils, there was no further bleeding. CONCLUSION: Arterial embolization is being used increasingly as a first line of treatment as it is fast and minimally invasive with few complications.
Authors: S Asaki; H Sato; T Nishimura; S Ohkubo; R Yamagata; S Ito; Y Saito; S Miyazaki; N Yaginuma Journal: Tohoku J Exp Med Date: 1988-02 Impact factor: 1.848
Authors: A Parra-Blanco; H Takahashi; P V Méndez Jerez; T Kojima; K Aksoz; K Kirihara; J Palmerín; Y Takekuma; R Fuijta Journal: Endoscopy Date: 1997-11 Impact factor: 10.093