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ÜST GASTROİNTESTİNAL SİSTEM KANAMALARINDA NADİR SEBEP: DİEULAFOY VASKÜLER MALFORMASYONU

Dieulafoy Vascular Malformation: A Rare Cause Of Upper Gastrointestinal Bleeding

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Dieulafoy vascular lesion, a rare cause of massive upper gastrointestinal bleeding, has a high mortality rate when diagnosis and treatment are delayed. A 41-year old woman was admitted to the hospital because of massive upper gastrointestinal bleeding. Upper gastrointestinal endoscopy did not revealed localization of bleeding. Emergency surgery was performed and localization of bleeding was seen within 4 cm of the gastroesophageal junction on lesser curvature on the stomach. Histopathological study of wedge resection material showed Dieulafoy vascular malformation. Dieulafoy's lesion is a difficult lesion to recognize. It should be considered when evaluating any unexplained acute and recurrent major gastrointestinal bleeding.
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Abstract (Original Language): 
Dieulafoy vasküler maiformasyonu üst gastrointestinal sistem nadir kanamalarından olmakla birlikte tanı ve tedavide geç kalındığında yüksek mortal ite oranları ile sonuçlanır. Masif üst gastrointestinal kanama ile hastanemize müracaat eden 41 yaşındaki bayan hastanın üst gastrointestinal sistem endoskopisinde kanama yeri tam olarak belirlenemedi Acil cerrahi girişim uygulandığında, kanama odağının gastroözofagial bileşkeye 4 cm uzaklıkta küçük kurvatur tarafında olduğu görüldü. Dieulafoy vasküler maiformasyonu olarak şüphelenilen bölge wedge rezeksiyon ile çıkarıldı. Histopatolojik incelemede ise tanı doğrulandı. Dieulafoy vasküler ma/formasyonunun tanınması güç olabilmektedir. Özellikle açıklanamayan ani ya da tekrarlayan bol üst gastrointestinal kanamalarda akla gelmelidir.
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  • 4
363-365
  • Turkish

REFERENCES

References: 

1. Greenwald DA, Brandt U. Vascular abnormalities of the gastrointestinal tract. In: Feldman M, Sbharschmidt BF, Sleisenger MH, eds. Gastrointestinal and Liver Disese 6 th ed. Philadelphia. 1998: 202-436 .
2. Veldhuyzen Van Zanten SJO, Bartelsman JFWM, Schipper MEI, et al Recurrent massive haematemesis from Dieulafoy vascular malformation-a review of 101 cases. Gut 1986; 27: 213-22.
3. Lin H, Lee F, Lee C, et al. Therapeutic endoscopy for Dieulafoy disease. Am J Gastroenterol 1989; 11: 507-10.
4. Pointner R, Schwab G, Königsainer A, et al. Endoscopic treatment of Dieulafoy's disease. Gastroenterology 1988; 94: 5636.
5. Chung YF, Wong WK, Soo KC. Diagnostic failures in endoscopy for acute upper gastrointestinal haemorrhage. Br J Surg 2000; 87: 614-7.
6. Eidus LB, Rasuli P, Manion D, et al. Caliber persistent artery of the stomach (Dieulafoy's vascular malformation). Gastroenterology 1990;
99: 1507-10.
7. Jaspersen D. Dieulafoy's disease controlled by doppler ultrasound endoscopic treatment. Gut 1993; 34: 857-8.
8. Juler GL, Labitzke HG, Lamb R, et al. The pathogenesis of Dieulafoy's gastric erosion. Am J Gastroenterol 1984; 79: 195-200.
9. Katz PO, Salas L. Less frequent causes of upper gastrointestinal bleeding. Gastroenterol Clin North Am 1993; 22: 875-89.
10. Canbaz H, Korkut M, Alkanat M, Uçar Y, Kara E. Dieulafoy vasküler malformasyonu, gastrointestinal sistemin nadir kanama nedenlerinden biri. Turkish Journal of Gastroenterology 1999; 10: 157-60.
11. Bouillet JL, Aubertin JM, Fornes P, et al. Dieulafoy's ulcer: Combined endoscopic and laparoscopic treatment. Endoscopy 1996; 28: 394-5.
12. Draper G, Layani L, McLeish J. Management of Dieulafoy's disease with combined endoscopy and laparoscopic gastric wedge resection. Aust N
Z J Surg. 1999; 69: 156-8.

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