Endosc Int Open 2017; 05(09): E939-E942
DOI: 10.1055/s-0043-114661
Case report
© Georg Thieme Verlag KG Stuttgart · New York

Dieulafoy’s lesion of the rectum: a case report and review of the literature

Mo Wang, Xiang Bu, Jing Zhang, Shanshan Zhu, Ying Zheng, Xinxing Tantai, Shiyang Ma
  • Division of Gastroenterology, The Second Affiliated Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, PR China
Further Information

Publication History

submitted 16 January 2017

accepted after revision 02 May 2017

Publication Date:
13 September 2017 (online)

Abstract

One patient with Dieulafoy’s lesion (DL) of the rectum who had a history of anal receptive intercourse is described and the relevant literature reviewed. DL is rare in clinical practice and is extremely rare in the rectum. It often affects patients with no history of cirrhosis or gastrointestinal disease and occurs with abrupt or recurrent gastrointestinal bleeding. Visible vessels can usually be found by endoscopy and coinstantaneous treatments are essential while surgical interventions can occur when necessary. The diagnosis of DL is mainly based on clinical manifestations and endoscopic features, and endoscopic treatment is the first option for hemostasis.