Record Details     « Return to search results       Brief Record Full Record MARC Record     Bibliographic Data Control Number 383284 Date and Time of Latest Transaction 20201212061609.AM General Information 201212s |||||||||b ||00||| Cataloging Source DOST-PCHRD Main Entry - Personal Name Marcelo-De Guzman, Millicent Grace   Lopez, Nilo S   De Guzman Jr., Roberto N Title Statement Juxtapapillary dieulafoy's lesion - A rare cause of gastrointestinal (GI) bleeding localized by technetium (Tc)-99m RBC scan Physical Description 19-21 Summary, Etc. Dieulafoy's lesion (DL) is a rare and potentially life-threatening cause of massive, recurrent gastrointestinal bleeding. DL, especially duodenal DL, is an inherently difficult lesion to diagnose and localize. Tagged RBC can aid in localization of bleeding that can then be verified either endoscopically or angiographically, or can guide curative surgery. We report a case of a 72-year old male who was admitted due to one month history of intermittent melena requiring repeated transfusions. Initial endoscopic examination failed to localize the bleeding site. Tagged RBC was done and revealed focal activity that increased over time with ante grade flow of tracer agent in the proximal small intestines most likely originating at the second portion of the duodenum. A side-viewing duodenoscope was then utilized and it localized the bleeding site to be in the juxtapapillary diverticulum. Based on the endoscopic findings in the setting of an acute GI bleed, the patient was diagnosed with Dieulafoy's lesion. Intralesional epinephrine (1: 10,000) injection was performed and complete hemostasis was achieved immediately Subject Added Entry - Topical Term X   X           Physical Location           Digital Copy Not Available          Add to Book Cart  |   Download MARC