Table of Contents Author Guidelines Submit a Manuscript
Canadian Journal of Gastroenterology
Volume 18 (2004), Issue 8, Pages 525-527
http://dx.doi.org/10.1155/2004/985603
Brief Communication

Diagnosis of a Bleeding Dieulafoy Lesion on Computed Tomography and Its Subsequent Embolization

Robert M Penner,1 Richard J Owen,2 and C Noel Williams1

1Department of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada
2Department of Radiology, University of Alberta, Edmonton, Alberta, Canada

Received 10 May 2004; Accepted 8 June 2004

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dieulafoy lesions are a potentially serious cause of gastrointestinal bleeding. Because they may bleed intermittently, and only be endoscopically evident during hemorrhage, their diagnosis can be challenging. This is the first case to be reported in the English literature of a patient with a Dieulafoy lesion diagnosed during computed tomography (CT) examination. Reduced acquisition times required for multislice helical CT allow the application of CT angiography in the diagnosis of gastrointestinal bleeding. CT scans are now widely used in the diagnostic algorithm for acute gastrointestinal hemorrhage, and the present case illustrates that with fortuitous timing, they can provide critical information and an opportunity for selected angiography and coil embolization.