Abstract
A 50-year-old man showed massive lower gastrointestinal bleeding without a triggering episode. An emergency colonoscopy revealed a protruding vessel in the lower rectum with no active bleeding. No underlying ulcer was seen within the surrounding mucosa. These findings were consistent with rectal Dieulafoy's lesion. Angiography was requested to identify the source of bleeding and for possible embolization. On the initial angiography, the bleeding point was unclear. Abnormal vessels such as arteriovenous malformation or nidus were not found. He again developed hematochezia, requiring transfusion of red blood cells. However, the second colonoscopy showed no active bleeding from the protruding vessel in the rectum. During the second angiography, sudden bleeding occurred. Angiography showed extravasation of contrast medium from the distal branch of the superior rectal artery. Transcatheter arterial embolization was performed, and was very effective.
| Original language | English |
|---|---|
| Pages (from-to) | 176-179 |
| Number of pages | 4 |
| Journal | Japanese Journal of Radiology |
| Volume | 30 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2012 |
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All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
Cite this
A case of rectal Dieulafoy's lesion successfully treated by transcatheter arterial embolization. / Nishimuta, Yusuke; Tsurumaru, Daisuke; Komori, Masahiro; Asayama, Yoshiki; Ishibashi, Tatsuyuki; Honda, Hiroshi.
In: Japanese Journal of Radiology, Vol. 30, No. 2, 02.2012, p. 176-179.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of rectal Dieulafoy's lesion successfully treated by transcatheter arterial embolization
AU - Nishimuta, Yusuke
AU - Tsurumaru, Daisuke
AU - Komori, Masahiro
AU - Asayama, Yoshiki
AU - Ishibashi, Tatsuyuki
AU - Honda, Hiroshi
PY - 2012/2
Y1 - 2012/2
N2 - A 50-year-old man showed massive lower gastrointestinal bleeding without a triggering episode. An emergency colonoscopy revealed a protruding vessel in the lower rectum with no active bleeding. No underlying ulcer was seen within the surrounding mucosa. These findings were consistent with rectal Dieulafoy's lesion. Angiography was requested to identify the source of bleeding and for possible embolization. On the initial angiography, the bleeding point was unclear. Abnormal vessels such as arteriovenous malformation or nidus were not found. He again developed hematochezia, requiring transfusion of red blood cells. However, the second colonoscopy showed no active bleeding from the protruding vessel in the rectum. During the second angiography, sudden bleeding occurred. Angiography showed extravasation of contrast medium from the distal branch of the superior rectal artery. Transcatheter arterial embolization was performed, and was very effective.
AB - A 50-year-old man showed massive lower gastrointestinal bleeding without a triggering episode. An emergency colonoscopy revealed a protruding vessel in the lower rectum with no active bleeding. No underlying ulcer was seen within the surrounding mucosa. These findings were consistent with rectal Dieulafoy's lesion. Angiography was requested to identify the source of bleeding and for possible embolization. On the initial angiography, the bleeding point was unclear. Abnormal vessels such as arteriovenous malformation or nidus were not found. He again developed hematochezia, requiring transfusion of red blood cells. However, the second colonoscopy showed no active bleeding from the protruding vessel in the rectum. During the second angiography, sudden bleeding occurred. Angiography showed extravasation of contrast medium from the distal branch of the superior rectal artery. Transcatheter arterial embolization was performed, and was very effective.
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UR - http://www.scopus.com/inward/citedby.url?scp=84861819564&partnerID=8YFLogxK
U2 - 10.1007/s11604-011-0029-4
DO - 10.1007/s11604-011-0029-4
M3 - Article
C2 - 22167344
AN - SCOPUS:84861819564
VL - 30
SP - 176
EP - 179
JO - Japanese Journal of Radiology
JF - Japanese Journal of Radiology
SN - 1867-1071
IS - 2
ER -