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Case Reports in Gastrointestinal Medicine
Volume 2017 (2017), Article ID 6983434, 3 pages
https://doi.org/10.1155/2017/6983434
Case Report

Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy’s Lesion

Department of Internal Medicine, Seton Hall University School of Health and Medical Sciences, Saint Francis Medical Center, Trenton, NJ, USA

Correspondence should be addressed to Ahmed Dirweesh; gro.lacidemsicnarfts@hseewrida

Received 29 December 2016; Accepted 23 February 2017; Published 7 March 2017

Academic Editor: Engin Altintas

Copyright © 2017 Ahmed Dirweesh et al. 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 rare etiology of gastrointestinal bleeding from a large caliber-persistent tortuous submucosal artery. They account for 1-2% of all causes of acute gastrointestinal hemorrhage with 80%–95% of these lesions located in the stomach along the lesser curvature. One-third of these lesions present at an extragastric location, with the proximal duodenum accounting for 15% of them. We present a 21-year-old male with no significant past medical history or risk factors, who presented with repeated syncopal episodes followed by hematemesis, found to have a Dieulafoy lesion located at the duodenal bulb. This lesion was diagnosed and successfully treated via upper endoscopy with epinephrine injection and the application of 2 endoscopic clips.