Skip Navigation LinksHome > June 1997 - Volume 24 - Issue 4 > Rectal Bleeding from a Mucous Fistula Secondary to a Dieulaf...
Journal of Clinical Gastroenterology:
Case Studies

Rectal Bleeding from a Mucous Fistula Secondary to a Dieulafoy's Lesion

Abdelmalek, Manal F. M.D.; Pockaj, Barbara A. M.D.; Leighton, Jonathan A. M.D.

Collapse Box


Dieulafoy's lesion is a submucosal artery associated with a minute mucosal defect, and it is an extremely rare cause of profuse but intermittent gastrointestinal bleeding. Most cases have occurred in the proximal stomach within 6 cm of the gastroesophageal junction. Less commonly, cases are encountered in the antrum, duodenum, jejunum, colon, and rarely the rectum. Only three cases of rectal Dieulafoy's lesion have been reported in the English medical literature: one in a child and two in otherwise healthy young men. We report a case of a rectal Dieulafoy's lesion in an elderly man with a mucous fistula. Successful treatment was administered with a combination of injection therapy and heater-probe coagulation followed by elective surgical oversewing. Rectal Dieulafoy's lesions should be included in the differential diagnosis of unexplained rectal bleeding in the elderly.

© Lippincott-Raven Publishers


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.