Xie Xinyu, Qin Jian, Ma Xiaojua, Liu Shanshan
Department of Gastroenterology, The Fourth Division Hospital of Xinjiang Production and Construction Corps, Yining, CHN.
Cureus. 2023 Jul 30;15(7):e42703. doi: 10.7759/cureus.42703. eCollection 2023 Jul.
Dieulafoy lesions are an extremely rare disease that can cause gastrointestinal bleeding and colon bleeding. Lower gastrointestinal bleeding caused by a transverse colonic Dieulafoy lesion is extremely rare. This study describes the case of a 68-year-old woman who took oral rivaroxaban for atrial fibrillation and presented with massive lower gastrointestinal bleeding associated with a rare transverse colonic Dieulafoy lesion. Hemostasis was successfully achieved by thermal coagulation and the application of endoscopic hemoclips. Lastly, we reviewed previous literature on the diagnosis and treatment of colonic Dieulafoy disease.
迪厄拉富瓦病变是一种极为罕见的疾病，可导致胃肠道出血和结肠出血。由横结肠迪厄拉富瓦病变引起的下消化道出血极为罕见。本研究描述了一名68岁女性的病例，该女性因心房颤动服用口服利伐沙班，并出现与罕见的横结肠迪厄拉富瓦病变相关的大量下消化道出血。通过热凝和应用内镜止血夹成功实现了止血。最后，我们回顾了以往关于结肠迪厄拉富瓦病诊断和治疗的文献。
