Korean J Gastrointest Endosc > Volume 29(2); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(2): 99-102.
내시경적 밴드 결찰술로 치유된 직장 Dieulafoy 병변 1예
황원민·구훈섭·이태희·이기세·임의혁·허규찬·최용우·강영우
건양대학교 의과대학 내과학교실
A Case of Rectal Dieulafoy's Lesion Treated by Endoscopic Band Ligation
Won Min Hwang, M.D., Hoon Seop Kuh, M.D., Tae Hee Lee, M.D., Ki Se Lee, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D., Young Woo Choi, M.D. and Young Woo Kang, M.D.
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea
Abstract
Dieulafoy's lesion is a relatively uncommon disease which is minor cause of massive acute lower gastrointestinal bleeding. The lesion comprises mainly of an abnormally exposed submucosal artery associated with a minute mucosal defect on the top in the stomach, and it is a rare cause of profuse but intermittent gastrointestinal bleeding. Less commonly, similar lesions have also been identified in the duodenum, jejunum, colon, and in rare cases, the rectum. In this report, 70 year-old man is described, who has an massive hematochezia from a small rectal mucosal defect with an exposed vessel. Control of the bleeding was successfully achieved with endoscopic band ligation. The fact that rectal Dieulafoy's disease is rare but one of the causes of massive hematochezia should serve as a reminder in the future cases in the elderly. (Korean J Gastrointest Endosc 2004;29:99⁣102)
Key Words: Dieulafoy's lesion, Rectum, Endoscopic band ligation
주요어: Dieulafoy 병변, 직장, 내시경적 밴드 결찰술
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