D2I2.
vascular

Dieulafoy's lesion

Dieulafoy's is a medical condition characterized by a large tortuous most commonly in the stomach wall (submucosal) that erodes and bleeds. It can present in any part of the tract. It can cause but is relatively uncommon. It is thought to cause less than 5% of all gastrointestinal bleeds in adults. It was named after French surgeon Paul Georges Dieulafoy, who described this condition in his paper "Exulceratio simplex: Leçons 1-3" in 1898. It is also called "caliber-persistent artery" or "" of gastric . However, unlike most other aneurysms, these are thought to be developmental malformations rather than degenerative changes.

Underlined words are explained — tap any of them.

Symptoms — what it feels like

  • ·Hematemesis, melena, hematochezia,

Causes — why it happens

  • ·Aberrant submucosal arteriole

How it's found

  • ·Upper endoscopy

Treatment

  • ·Endoscopic therapy with endoclip, argon coagulation, electrocautery, epinephrine injection, etc

Outlook

  • ·8%
Plain-language summary adapted from Wikipedia. Not medical advice.