Case Report

Esophageal Dieulafoy Lesion: A Rare and Potentially Fatal Entity

Table 1

Summary of previously published case reports and case series pertaining to Dieulafoy lesions in the oesophagus.

PublicationDemographicsPresentationSite of lesionTreatment and outcome

Inayat, F., Ullah, W., Hussain, Q. and Hurairah, A., 2017. Dieulafoy’s lesion of the oesophagus: a case series and literature review. Case Reports, 2017, p. bcr2016218100.3 patients
53 years old caucasian male.1 week history of melenaDistal oesophagusAdrenaline injection and haemoclips
68 years old Caucasian maleAdmitted following RTA, on day 2 of admission developed fresh rectal bleedingDistal oesophagusHaemoclips
80 years old Caucasian male2-day history of haematemesisDistal oesophagusAll three patients recovered well and were discharged home with no further intervention

Nemakayala, D.R., rai, M.P., Yam, J.L. and Laird-Fick, H., 2018. Dieulafoy’s lesion in the oesophagus: A rare cause of upper gastrointestinal Bleeding. Case Reports, 2018, pp. bcr-2017.55 years old Caucasian male.3-day history of melena and a presyncopal episodeDistal oesophagusAdrenaline injection and gold probe cautery
Discharged home with no further intervention

Ertekin, C., Barbaros, U., Taviloglu, K., Guloglu, R. and Kasoglu, A., 2002. Dieulafoy’s lesion of esophagus. Surgical Endoscopy And Other Interventional Techniques, 16 [1], pp. 219–219.25-year-old femaleHaematemesis and melenaDistal oesophagusBand ligation
Discharged home with no further intervention

El Hajj, I.I., Malik, S. and McGrath, K.M., 2010. Endoscopic clipping of Dieulafoy’s lesion in the upper esophagus. Digestive and Liver Disease, 42 [2], pp. 155–156.61-year-old maleHaematemesis.Upper oesophagusHaemoclip
Discharged home with no further intervention

Benatta, M.A. and Grimaud, J.C., 2017. Band ligation for a gastroesophageal junction Dieulafoy’s lesion. The Pan African medical journal, 26.24-year-old maleHaematemesisOGJBand ligation
Discharged home with no further intervention

Yoshida, T., Adachi, K., Tanioka, Y., Sasaki, T., Ono, S., Hanada, H., Esaki, T., Yagawa, T., Takeo, S., Saiki, Y. and Harada, T., 2004. Dieulafoy’s lesion of the esophagus correctly diagnosed and successfully treated by the endoscopic injection of N-butyl-2-cyanoacrylate. Endoscopy, 36(02), pp. 183–185.74-year-old maleHaematemesis and melenaDistal oesophagusInjected with N-butyl-2-cyanoacrylate
Discharged home with no further intervention

Ho, K.M., 2004. Use of Sengstaken-Blakemore tube to stop massive upper gastrointestinal bleeding from Dieulafoy’s lesion in the lower oesophagus. Anaesthesia and intensive care, 32 [5], pp. 711–714.71-year-old maleHaematemesisDistal oesophagusAdrenaline injection and bipolar diathermy
Further bleed controlled with Sengstaken–Blakemore tube
Repeat OGD did not identify a bleeding point
Discharged home with no further intervention

Malliaras, G.P., carollo, A. and Bogen, G., 2016. Esophageal Dieulafoy’s lesion: An exceedingly rare cause of massive upper GI bleeding. Journal of surgical case reports, 2016 [6], p.rjw074.55-year-old maleHaematemesisDistal oesophagusAdrenaline and haemoclip placement
Discharged home with no further intervention

Thimmapuram, J., Shah, M. and Srour, J., 2011. Esophageal Dieulafoy lesion: An unusual cause of GI bleeding. Gastrointestinal endoscopy (Print), 73 [5], pp. 1055–1056.55-year-old maleHaematemesisMid oesophagusAdrenaline injection and haemoclip application
Discharged home with no further intervention

Abraham, P., Mukerji, S.S., Desai, D.C. And Joshi, A.G., 2004. Dieulafoy lesion in mid-esophagus with esophageal varices. Indian journal of gastroenterology: official journal of the Indian Society of Gastroenterology, 23 [6], pp. 220–221.54-year-old maleHaematemesisDistal oesophagusBand ligation