April Posadas Calleja
M.D., Department of Internal Medicine, World Citi Medical Center, Philippines
Title: A Case Report on Dieulafoy’s Lesion of the Duodenum in the Philippines
Biography
Biography: April Posadas Calleja
Abstract
Background: Dieulafoy’s lesion is a rare cause of gastrointestinal hemorrhage. The most common location is the stomach along the lesser curvature but it may also be seen in extra gastric locations specifically the duodenum. We reported an isolated case of Dieulafoy’s lesion of the second portion of the duodenum at a private institution in the Philippines and discuss the endoscopic diagnosis and management of this uncommon lesion.Case Presentation: An isolated case of upper gastrointestinal bleeding in a 34-year-old male known hypertensive with gouty arthritis who was on chronic nonsteroidal anti-inflammatory drugs (NSAID) use, later reported to be a case of Dieulafoy’s lesion. Endoscopic diagnosis was performed and treatment was done by endoscopic sclerotherapy using epinephrine.Conclusion: Dieulafoy’s lesion is a rare etiology of gastrointestinal bleeding but may even be complicated by an unusual location such as those seen in the duodenum hence spreading awareness about this intricate lesion by including it in our differentials, may help improve early detection and treatment.