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KMID : 0374920110320010087
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Inje Medical Journal
2011 Volume.32 No. 1 p.87 ~ p.93
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A Case Of Rectal Dieulafoy's Lesion With Massive Hematochezia
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Kim Tae-Young
Lee Sang-Heon
Kim Ji-Hyun
Bae Young-Hwan
Jung Eun-Joo
Kim Seung-Man
Jee Sam-Ryong
Seol Sang-Yong
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Abstract
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Dieulafoy’s lesion is very rare cause of gastrointestinal bleeding, Deiulafoy’s lesion is exposure of non ulcerative, abnormally large tortuous, thick- walled artery in the muscularis mucosa through a small submucosal defect. It is usullay found on stomach antrum and lesser curvature side of the proximal body, and possibly found on any sites throughout whole gastrointestinal tract, but rarely on rectum. The principal of treating Dieulafoy’s lesion was the surgical resection of lesion, but recently remarkable advances in endoscopic technique make endoscopic approach more popular. We report a case of rectal Dieulafoy’s lesion successfully treated with endoscopic hemoclipping in an elderly female patient.
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KEYWORD
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Dieulafoy's lesion, Rectum, Hemoclipping
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