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17 June 2017 : Case report  Qatar

Dieulafoy’s Lesion of the Anal Canal: A Rare Cause of Lower Gastrointestinal Bleeding

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Ahmed Khalid1ABEF, Husham Abdelrahman1ABEF, Syed Muhammad Ali1ABDE, Ejaz Ahmed Latif1ABE, Hassan Al-Thani1BDE, Ayman El-Menyar23DEF*

DOI: 10.12659/AJCR.903735

Am J Case Rep 2017; 18:677-681

Abstract

BACKGROUND: Dieulafoy’s lesion of the anal canal is an uncommon cause of lower gastrointestinal bleeding due to rupture of a submucosal artery. This could be an under-recognized cause of hemorrhagic shock in rare cases.

CASE REPORT: We present 2 cases admitted with bleeding per rectum and hemorrhagic shock, and both were diagnosed as Dieulafoy’s lesion of the anal canal on sigmoidoscopy. One case was treated surgically and the second was managed endoscopically.

CONCLUSIONS: Dieulafoy’s lesion of the anal canal can be a source of massive lower gastrointestinal bleeding. Initial anoscopy or sigmoidoscopy might miss such a lesion. Proper visualization helps not only the diagnosis, but also the provision of therapeutic intervention in the same setting.

Keywords: Anal Canal, Endoscopy, Gastrointestinal, Gastrointestinal Diseases, Lower Gastrointestinal Tract

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923