Dieulafoy's lesion of the anal canal: a new clinical entity. Report of two cases.

Authors

Khawaja Azimuddin MD, Lehigh Valley Health NetworkFollow
John J. Stasik MD, Lehigh Valley Health NetworkFollow
Lester Rosen MD, FACS, Lehigh Valley Health NetworkFollow
Robert D. Riether MD, Lehigh Valley Health NetworkFollow
Indru Khubchandani MD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

3-1-2000

Abstract

Dieulafoy's lesion is an unusual source of massive lower gastrointestinal hemorrhage. It is characterized by severe bleeding from a minute submucosal arteriole that bleeds through a punctate erosion in an otherwise normal mucosa. Although Dieulafoy's lesions were initially described only in the stomach and upper small intestine, they are being identified with increasing frequency in the colon and rectum. To our knowledge, however, Dieulafoy's lesion of the anal canal has not been described previously. We present two patients with Dieulafoy's lesion of the anal canal who presented with sudden onset of massive hemorrhage. The clinicopathologic features of this unusual clinical entity are discussed and suggestions are made for diagnosis and management.

Volume

43

Issue

3

First Page

423

Last Page

426

ISSN

0012-3706

Published In/Presented At

Azimuddin, K., Stasik, J. J., Rosen, L., Riether, R. D., & Khubchandani, I. T. (2000). Dieulafoy's lesion of the anal canal: a new clinical entity. Report of two cases. Diseases Of The Colon And Rectum, 43(3), 423-426.

Disciplines

Medical Sciences | Medicine and Health Sciences | Surgery

PubMedID

10733128

Department(s)

Department of Medicine, Department of Surgery

Document Type

Article