잠시만 기다려 주세요. 로딩중입니다.
KMID : 0359020100410050303
Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 5 p.303 ~ p.307
A Case of Dieulafoy`s Lesion with Pseudoaneurysm in the Sigmoid Colon
Kim Tae-Wan

Kim Hong-Joo
Min Jae-Hoon
Byun Sun-Jeoung
Lee Ji-Ae
Jang Seung-Hun
Choi Sung-Youn
Abstract
Dieulafoy’s lesions are characterized by a single large tortuous arteriole in the submucosa, and this arteriole does not undergo normal branching. These lesions are an uncommon cause of massive, sometimes fatal gastrointestinal bleeding; this had been reported to be the cause of 0.3∼1.5% of the cases of major gastrointestinal bleeding. The lesions mainly occur in the proximal stomach, but they may occur in all parts of the gastrointestinal tract, including the small bowel, colon and rectum. Endoscopy is a common method for the diagnosis and treatment of Dieulafoy’s lesions. However, in the case of a high risk lesion, angiography, laparoscopy or laparotomy can be performed instead. We experienced a rare case of bleeding from a Dieulafoy’s lesion with pseudoaneurysm in the sigmoid colon. Angiography with embolization was performed, but the patient expired due to rebleeding. We report on this case along with a review of the relevant literature.
KEYWORD
Dieulafoy`s Lesion, Pseudoaneurysm, Angiographic embolization
FullTexts / Linksout information
 
Listed journal information
학술진흥재단(KCI) KoreaMed 대한의학회 회원