KMID : 0614620240830030119
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Korean Journal of Gastroenterology 2024 Volume.83 No. 3 p.119 ~ p.122
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Life-threatening Gastrointestinal Bleeding from a Dieulafoy¡¯s Lesion in the Duodenum: A Case Report
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Son Jun-Hyuk
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Abstract
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Dieulafoy¡¯s lesion is a rare cause of gastrointestinal bleeding, accounting for approximately 1?2% of all cases of gastrointestinal bleeding. Dieulafoy¡¯s lesion usually occurs in the lesser curvature of the stomach within six centimeters of the gastroesophageal junction. On the other hand, extragastric Dieulafoy¡¯s lesions are uncommon. Diagnosing an extragastric Dieulafoy¡¯s lesion by endoscopy can be challenging because of its small size and obscure location. The key elements for an accurate diagnosis include heightened awareness and a careful early endoscopic evaluation following a bleeding episode. Various endoscopic hemostatic techniques can be used for treatment. This paper presents a case of successful hemostasis using argon plasma coagulation for a life-threatening duodenal Dieulafoy¡¯s lesion.
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KEYWORD
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Dieulafoy¡¯s lesion, Duodenum, Bleeding, Hemostasis
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