Dieulafoy s lesion is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall submucosal that erodes and bleeds. A free powerpoint ppt presentation displayed as a flash slide show on id. A 74yearold female who had had multiple episodes of bleeding from the upper gastrointestinal tract with hematemesis and melena, in another city, had been diagnosed with this lesion presented in this image and video clip, later was referred to our endoscopic unit for specific treatment. Although first reported by gallard in 1884, dieulafoys lesion was more precisely described 14 years later by the french surgeon, georges dieulafoy. It can present in any part of the gastrointestinal tract. Dieulafoys ulcer often presents in the stomach and is thought to cause about 5% of all gastrointestinal bleeds in adults, but can be found in any part of the. A case of the lower gastrointestinal bleeding due to. Dieulafoy ulcer definition of dieulafoy ulcer by medical. Dieulafoys disease is an uncommon but potentially significant cause of gastrointestinal bleeding caused by a largecaliber arterial vessel in the submucosa, which causes erosion and debilitation of the surrounding mucosa and may lead to massive gastrointestinal bleeding.
Dieulafoys lesion is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall that erodes and bleeds. Lipschutz ulcer, or ulcus vulvae acutum, is a rare and probably underdiagnosed entity that usually presents as an acute painful vulvar ulcer in young women. Puede ocurrir en estomago, piloro, bulbo duodenal, esofago, duodeno post bulbar. It is thought to cause less than 5% of all gastrointestinal bleeds in adults. The condition occurs in people of all ages, but is. It was named after french surgeon paul georges dieulafoy. Download as ppt, pdf, txt or read online from scribd. Dieulafoys lesion is a medical condition characterized by a large tortuous arteriole most. The lesion was predominantly found in the proximal stomach. Dieulafoys lesions also called caliberpersistent artery are bleeding ulcers that. Duodenal ulcers are seen 34 times more often than gastric ulcers, and ulcer complications are also present more.
In most cases, this malformation is located in the stomach, mainly in the lesser curvature. An hand dreier, in serie erfolgreich operierter ulcera dieulafoy ua. Dieulafoy s vascular malformation gi disease a vascular malformation of the stomach which may present as a bleeding ulcer. Download fulltext pdf download fulltext pdf georgespaul dieulafoy 18391911 and the first description of exulceratio simplex article pdf available in annals of gastroenterology 243. Apr 05, 2008 georges paul dieulafoy 18391911 jose l. Dieulafoys lesion, gastrointestinal bleeding, duodenum, endoscopy.
Presentecion hds 1 2 ulcera peptica gastroenterologia. Gastroduodenal peptic ulcer and helicobacter pylori infection. Scribd is the worlds largest social reading and publishing site. Although first reported by gallard in 1884, dieulafoy s lesion was more precisely described 14 years later by the french surgeon, georges dieulafoy. Dieulafoys lesion is an uncommon cause of gastrointestinal bleeding in which significant, and often recurrent, hemorrhage occurs from a pinpoint nonulcerated arterial lesion. The most common cause of upper gastrointestinal bleeds ugibs in this population is peptic ulceration, particularly posteriorwall duodenal ulcers, which can. Gastrointestinal bleeding due to a dieulafoy lesion in the afferent. Feb 09, 2016 causas porcentaje gastropatia erosiva 34. Microsoft powerpoint slides semin\341rio ulcera peptica. Le ulcere peptiche sono ferite allinterno del rivestimento interno dello stomaco, della sezione del duodeno dellintestino tenue ed a volte dellesofago. It is thought to cause less than 5% of all gastrointestinal bleeds in. Helicobacter pylori infection in children and adolescents ulcera poptica gastroduodenal e infecc.
Ulcera peptica 285 elevado, presenta evidencin clinica da e ulcera duodenal. If you continue browsing the site, you agree to the use of cookies on this website. Dieulafoys lesion is a relatively rare, but potentially lifethreatening, condition. Dieulafoy s disease is an uncommon but potentially significant cause of gastrointestinal bleeding caused by a largecaliber arterial vessel in the submucosa, which causes erosion and debilitation of the surrounding mucosa and may lead to massive gastrointestinal bleeding. The etiology is unknown, although recent reports have associated it with the epsteinbarr virus. Dieulafoy lesion genetic and rare diseases information. Dieulafoy lesions can cause severe and sudden gastrointestinal bleeding. He reported fatal gi hemorrhage in three, asymptomatic, young, male patients caused by large, actively bleeding, blood vessels within the stomach associated with small ulcers, which he called exulceratio simplex, as he. Ulcera traumatica causas diagnostico diferencial radiaciones sustancias causticas medicamentos quemaduras galvanismo protesis mal ajustada cepillado violento borde. Ulcera traumatica by yoanna mercedes salas pino on prezi. Its serious nature makes it necessary to include it in the differential diagnosis of obscure gi bleeding. Gastrointestinal dieulafoy s ulcer is a rare disease of unknown etiology. Dieulafoy s ulcer often presents in the stomach and is thought to cause about 5% of all gastrointestinal bleeds in adults, but can be found in any part of the gastrointestinal tract. Dieulafoy s lesion is a vascular abnormality consisting of a tortuous, dilated aberrant submucosal vessel that erodes the overlying mucosal layer without ulceration.
Dieulafoy s ulcer corresponds to an arterial malformation in the submucosal space and can cause lifethreatening hemorrhage. Las ulceras pepticas son dolores abiertos a lo largo del forro interior del estomago, del duodeno, o del esofago. Repeat endoscopies were needed in 33% of the patients in order to make the correct diagnosis. Definicion y clasificacionde las ulceras por presion.
Pdf prognostic factors for recurrence of gastrointestinal. Hemorragia digestiva alta montellanos egas, manuel j. Dieulafoy s ulcer often presents in the stomach and is thought to cause about 5% of all gastrointestinal bleeds in adults, but can be found in any part of the. Ppt hemorragia digestiva powerpoint presentation free. Dieulafoys vascular malformation gi disease a vascular malformation of the stomach which may present as a bleeding ulcer. Download fulltext pdf download fulltext pdf dieulafoy lesion in the stomach article pdf available in case reports in gastroenterology 23. Dieulafoy s lesion is a relatively rare, but potentially lifethreatening, condition. Dieulafoy lesion is an abnormally large artery a vessel that takes blood from the heart to other areas of the body in the lining of the gastrointestinal system.
The association between dl and gastric cancer is not fully elucidated. Summary fatal dieulafoys type ulcer in a case of gastric alamyloidosis dieulafoys ulcer is a particular form of gastric ulcer confined to a persistent caliber artery and may lead to severe hemorrhage. Pdf dieulafoy disease of stomach an uncommon cause of. Download fulltext pdf download fulltext pdf endoscopic management of dieulafoy s lesion article pdf available in clinical endoscopy 482. Microsoft powerpoint slides semin\\341rio ulcera peptica. Dieulafoys lesion represents approximately 2% of all causes of upper gastrointestinal bleeding. Therapeutic endoscopy for recently bleeding peptic ulcers depends upon the forrest criteria, with endoscopic therapy recommended only for. The diagnosis is made by exclusion after ruling out sexually transmitted diseases, autoimmune causes, trauma, and other etiologies. Dieulafoy disease an overview sciencedirect topics. A dieulafoy lesion is a dilated aberrant submucosal blood vessel that erodes. It is most common in the stomach but can occur in other locations, including the small and large intestine.
Clinical features and endoscopic management of dieulafoys. Dieulafoy lesions, a rare cause of gastrointestinal hemorrhage, are caliber persistent submucosal arteries without surrounding ulcers or mucosal lesions. Dieulafoys lesion is a vascular abnormality consisting of a tortuous, dilated aberrant submucosal vessel that erodes the overlying mucosal layer without ulceration. Dieulafoy s lesion is frequently responsible for severe and recurrent upper gastrointestinal hemorrhage. Gastroduodenal peptic ulcer and helicobacter pylori. It can cause gastric hemorrhage but is relatively uncommon. Masslike dieulafoys lesion associated with advanced gastric. Baldini 415 introduction the dieulafoy lesion is an uncommon cause of gastrointestinal bleeding. It accounts for 12% of acute gastrointestinal gi bleeding, but arguably is underrecognised rather than rare.