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Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 45-48.
투명캡을 씌운 내시경으로 치료한 바터 팽대부 Dieulafoy 병변 출혈 1예
구훈섭ㆍ김용석ㆍ김광일ㆍ양정경ㆍ김성민ㆍ천상열ㆍ선재형ㆍ김선문
건양대학교 의과대학 내과학교실
A Case of Transparent Cap-fitted Endoscopic Hemoclipping on a Bleeding Dieulafoy's Lesion in the Ampulla of Vater
Hoon Sup Koo, M.D., Yong Seok Kim, M.D., Gwang Il Kim, M.D., Jung Kyung Yang, M.D., Seung Min Kim, M.D., Sang Yeol Cheon, M.D., Je Hyung Sun, M.D. and Sun Moon Kim, M.D.
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea
Abstract
Dieulafoy's lesion is a rare cause of repetitive and massive gastrointestinal bleeding, and this is characterized by an isolated arteriole protruding through a small mucosal defect. Dieulafoy's lesion is generally found in the stomach within 6 cm of the gastroesophageal junction, and usually on the lesser curvature, but many lesions have been reported in extragastric locations, including the esophagus, small bowel and rectum. A Dieulafoy's lesion in the ampulla of Vater is extremely rare, and only one such case has been reported in the Korean population. We experienced a rare case of Dieulafoy's lesion in the ampulla of Vater with massive pulsatile bleeding, and this was successfully treated by transparent cap-assisted endoscopic hemoclipping. We report here on this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2010;40:45-48)
Key Words: Dieulafoy's lesion, Ampulla of Vater, Gastrointestinal bleeding, Endoscopic hemoclipping
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