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©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Dec 14, 2006; 12(46): 7547-7548
Published online Dec 14, 2006. doi: 10.3748/wjg.v12.i46.7547
Published online Dec 14, 2006. doi: 10.3748/wjg.v12.i46.7547
Acute lower gastrointestinal bleeding from a dieulafoy lesion proximal to the anorectal junction post-orthotopic liver transplant
Wichian Apiratpracha, British Columbia Transplant Society, The University of British Columbia, Vancouver, BC, Canada
Jin Kee Ho, Eric M Yoshida, Division of Gastroenterology, Department of Medicine, The University of British Columbia, Vancouver, BC, Canada
James J Powell, Department of Surgery, The University of British Columbia, Vancouver, BC, Canada
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Eric M Yoshida, Vancouver General Hospital, 5153-2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada. eric.yoshida@vch.ca
Telephone: +1-604-8755371 Fax: +1-604-8755447
Received: July 8, 2006
Revised: September 21, 2006
Accepted: September 28, 2006
Published online: December 14, 2006
Revised: September 21, 2006
Accepted: September 28, 2006
Published online: December 14, 2006
Abstract
A 67-year-old woman underwent an orthotopic liver transplantation for end stage liver disease secondary to chronic autoimmune hepatitis. She developed sudden massive hematochezia on post-operative day 23 with hemodynamic compromise. The source of hemorrhage was found at colonoscopy after careful irrigation and inspection to be a dieulafoy lesion situated just proximal to the anorectal junction. Hemostasis was achieved with epinephrine injection and thermal coagulation.