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Case Reports in Medicine
Volume 2014 (2014), Article ID 180230, 3 pages
http://dx.doi.org/10.1155/2014/180230
Case Report

Rectal Dieulafoy Lesions: A Rare Etiology of Chronic Lower Gastrointestinal Bleeding

Department of General Surgery, Antalya Education and Research Hospital, Muratpaşa, 07070 Antalya, Turkey

Received 5 August 2014; Accepted 21 September 2014; Published 1 October 2014

Academic Editor: William B. Silverman

Copyright © 2014 Ugur Dogan 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 lesion is rarely seen, yet it can be life-threatening. This lesion makes up to 1-2% of gastrointestinal bleedings and must definitely be considered in gastrointestinal bleedings whose source cannot be identified. In this case study, the 75-year-old woman was suffering from active, fresh, and massive rectal bleeding. Colonoscopy was applied in order to find out the source of bleeding. In the typical endoscopic appearance of the lesion a single round mucosal defect in the rectum and arterial bleeding were observed. To procure hemostasis, epinephrine was injected into the lesion and the bleeding vein was sutured.