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KMID : 0359020100400010045
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.40 No. 1 p.45 ~ p.48
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A Case of Transparent Cap-fitted Endoscopic Hemoclipping on a Bleeding Dieulafoy’s Lesion in the Ampulla of Vater
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Koo Hoon-Sup
Kim Yong-Seok
Kim Gwang-Il
Yang Jung-Kyung
Kim Seong-Min
Cheon Sang-Yeol
Sun Je-Hyung
Kim Sun-Moon
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Abstract
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Dieulafoy’s lesion is a rare cause of repetitive and massive gastrointestinal bleeding, and this is characterized by an isolated arteriole protruding through a small mucosal defect. Dieulafoy’s lesion is generally found in the stomach within 6 cm of the gastroesophageal junction, and usually on the lesser curvature, but many lesions have been reported in extragastric locations, including the esophagus, small bowel and rectum. A Dieulafoy’s lesion in the ampulla of Vater is extremely rare, and only one such case has been reported in the Korean population. We experienced a rare case of Dieulafoy’s lesion in the ampulla of Vater with massive pulsatile bleeding, and this was successfully treated by transparent cap-assisted endoscopic hemoclipping. We report here on this case with a review of the relevant literature.
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KEYWORD
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Dieulafoy’s lesion, Ampulla of Vater, Gastrointestinal bleeding, Endoscopic hemoclipping
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