Document Detail

Angiographic findings and endovascular embolization in Dieulafoy disease: a case report and literature review.
MedLine Citation:
PMID:  16972222     Owner:  NLM     Status:  MEDLINE    
Dieulafoy disease is an unusual cause of gastrointestinal (GI) hemorrhage that can be fatal. It arises from an abnormally large eroded submucosal artery commonly located in the proximal stomach. Since this disease first described in 1884, it has been rarely discussed in radiology literature. We describe a case of an elderly patient with multiple medical problems presented with upper and lower GI hemorrhage. Repeated upper GI endoscopies revealed a large fundal clot but otherwise were unremarkable. Angiography showed anomalous short gastric artery originating normally from the splenic artery. The latter was embolized with microcoils and Gelfoam. Following embolization, the frequency and amount of bleeding decreased although did not totally stop and the patient underwent elective partial gastrectomy. The diagnosis was made histologically. Therefore, Dieulafoy disease can represent a diagnostic and therapeutic challenge. It should be suspected if a patient with GI hemorrhage is found to have extravasation from a dilated tortuous artery that appears normal otherwise with no associated large draining veins. Transcatheter selective arterial embolization has a reported role in the literature as a less invasive therapeutic option compared to surgery.
Ghazi Alshumrani; Mohammed Almuaikeel
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  12     ISSN:  1305-3825     ISO Abbreviation:  -     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-14     Completed Date:  2006-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
Department of Radiology, King Khalid University, Abha, and the Department of Radiology, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
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MeSH Terms
Arteries / abnormalities
Embolization, Therapeutic*
Gastric Mucosa / blood supply
Gastrointestinal Hemorrhage / etiology,  radiography*,  therapy*
Stomach / blood supply*
Treatment Outcome

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