Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization

Dieulafoy lesions are a potentially serious cause of gastrointestinal bleeding. Because they may bleed intermittently, and only be endoscopically evident during hemorrhage, their diagnosis can be challenging. This is the first case to be reported in the English literature of a patient with a Dieulaf...

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Main Authors: Robert M Penner, Richard J Owen, C Noel Williams
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2004/985603
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author Robert M Penner
Richard J Owen
C Noel Williams
author_facet Robert M Penner
Richard J Owen
C Noel Williams
author_sort Robert M Penner
collection DOAJ
description Dieulafoy lesions are a potentially serious cause of gastrointestinal bleeding. Because they may bleed intermittently, and only be endoscopically evident during hemorrhage, their diagnosis can be challenging. This is the first case to be reported in the English literature of a patient with a Dieulafoy lesion diagnosed during computed tomography (CT) examination. Reduced acquisition times required for multislice helical CT allow the application of CT angiography in the diagnosis of gastrointestinal bleeding. CT scans are now widely used in the diagnostic algorithm for acute gastrointestinal hemorrhage, and the present case illustrates that with fortuitous timing, they can provide critical information and an opportunity for selected angiography and coil embolization.
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institution Kabale University
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series Canadian Journal of Gastroenterology
spelling doaj-art-8a4d6e513eec4543a00d50da06b48e5e2025-02-03T06:08:10ZengWileyCanadian Journal of Gastroenterology0835-79002004-01-0118852552710.1155/2004/985603Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent EmbolizationRobert M Penner0Richard J Owen1C Noel Williams2Department of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, Alberta, CanadaDepartment of Radiology, University of Alberta, Edmonton, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, Alberta, CanadaDieulafoy lesions are a potentially serious cause of gastrointestinal bleeding. Because they may bleed intermittently, and only be endoscopically evident during hemorrhage, their diagnosis can be challenging. This is the first case to be reported in the English literature of a patient with a Dieulafoy lesion diagnosed during computed tomography (CT) examination. Reduced acquisition times required for multislice helical CT allow the application of CT angiography in the diagnosis of gastrointestinal bleeding. CT scans are now widely used in the diagnostic algorithm for acute gastrointestinal hemorrhage, and the present case illustrates that with fortuitous timing, they can provide critical information and an opportunity for selected angiography and coil embolization.http://dx.doi.org/10.1155/2004/985603
spellingShingle Robert M Penner
Richard J Owen
C Noel Williams
Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
Canadian Journal of Gastroenterology
title Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
title_full Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
title_fullStr Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
title_full_unstemmed Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
title_short Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization
title_sort diagnosis of a bleeding dieulafoy lesion on computed tomography and its subsequent embolization
url http://dx.doi.org/10.1155/2004/985603
work_keys_str_mv AT robertmpenner diagnosisofableedingdieulafoylesiononcomputedtomographyanditssubsequentembolization
AT richardjowen diagnosisofableedingdieulafoylesiononcomputedtomographyanditssubsequentembolization
AT cnoelwilliams diagnosisofableedingdieulafoylesiononcomputedtomographyanditssubsequentembolization