Rivera R, Méndez I, Ubiña E, García G, Sánchez A
Servicio de Aparato Digestivo, Hospital Costa del Sol, Marbella, Málaga.
Rev Gastroenterol Peru. 2006 Apr-Jun;26(2):203-6.
The Dieulafoy lesion is a vascular anomaly generally located in proximal stomach. and consist of the presence of an artery of heavy caliber in the submucosa and mucosa, although the definitive diagnosis is anatomopathologic, with the endoscopic examination we can obtained a high precision approach. Is a rare cause of gastrointestinal bleeding although potentially fatal etiology of gastrointestinal hemorrhage. It occurs in fewer than 2% of the episodes of acute digestive hemorrhage. The injury of duodenal Dieulafoy has been communicated in a reduced number of cases and in some of them it has needed surgical treatment. We effectively presented and treat this case of a young man diagnosed in the initial endoscopy and was treated by means of injection of adrenalin and absolute alcohol.
Dieulafoy病变是一种血管异常，通常位于胃近端。它表现为黏膜下层和黏膜中有一条粗大的动脉，尽管最终诊断依靠解剖病理学，但通过内镜检查我们可以获得高精度的诊断方法。它是胃肠道出血的罕见原因，尽管是胃肠道出血的潜在致命病因。它在急性消化道出血病例中所占比例不到2%。十二指肠Dieulafoy病变的报道病例较少，其中一些需要手术治疗。我们有效地呈现并治疗了该病例，该年轻男性在初次内镜检查时被诊断出，并通过注射肾上腺素和无水乙醇进行了治疗。
