Author/Editor		Golub, Mirjam; Grmec, Štefek; Pocajt, Maksimiljan
Title		Sindrom Dieulafoy - redek vzrok masivne krvavitve iz gastrointestinalnega trakta - prikaz primera
Translated title		Syndrome Dieulafoy - a rare case of lassive gastrointestinal bleeding - a case report
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2004
Volume		str. 282-5
Language		slo
Abstract		In this article we discuss about the case of massive upper gastrointestinal bleeding in young adult male due to Dieulafoy lesion of the duodenum. The diagnosis was made by the endoscopy and therapeutic hemostasis by endoscopic argon fotocoagulation. Dieulafoy lesion is an uncommon cause of GIT bleeding in wich significant and often recurrent hemorrhage occurs. It occurs from a pinpoint nonulcerated arterial lesion, usually high in the gastric fundus. Similar lesion has also been found in the distal oesophagus, small intestine, colon and rectum. The patologic substrat of this entity consist of an abnormally large calibre persistent tortuous submucosal artery, which was been demostrated by histological examination of resected specimen and by postmortem examination, which protrudes through a tiny mucosal defect. A history of NSAID or alcohol abuse is usually absent. Endoscopy is the method of choise as a diagnostic and therapeutic tool.
Descriptors		GASTROINTESTINAL HEMORRHAGE EMERGENCY SERVICE, HOSPITAL ENDOSCOPY DUODENAL DISEASES ADULT HEMATEMESIS MELENA