Lower gastrointestinal bleeding due to rectal Dieulafoy's lesion. 2017

Omar N Nadhem, and Omar A Salh, and Omar H Bazzaz
Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, TX, USA.

Dieulafoy's lesion is a relatively rare but serious cause of gastrointestinal bleeding. It usually involves the upper gastrointestinal tract. However, it has recently been reported in different regions of the gastrointestinal tract, including the rectum. Here, we report the case of a female patient who presented with fresh bleeding per rectum for 1 day with low hemoglobin level. Colonoscopy revealed an actively bleeding rectal Dieulafoy's lesion which was successfully treated with a clip. To our knowledge, there have been few reported cases of lower gastrointestinal bleeding caused by Dieulafoy's lesion in the rectum.

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