©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2019; 11(7): 438-442
Published online Jul 16, 2019. doi: 10.4253/wjge.v11.i7.438
Published online Jul 16, 2019. doi: 10.4253/wjge.v11.i7.438
Endoscopic management of massive rectal bleeding from a Dieulafoy's lesion: Case report
Mario Rene Pineda-De Paz, Massiel Madelin Rosario-Morel, Jose Guadalupe Lopez-Fuentes, Luis Ariel Waller-Gonzalez, Rodrigo Soto-Solis, Department of Endoscopy, National Medical Center November 20TH, ISSSTE, Mexico City 03229, Mexico
Author contributions: Pineda-De Paz MR, Rosario-Morel MM, Lopez-Fuentes JG and Soto-Solis R contributed to concept and design, literature review, and drafting of the manuscript; Pineda-De Paz MR acquired the data and figures; Pineda-De Paz MR, Rosario-Morel MM, Waller-González LA, and Soto-Solis R revised the manuscript for important intellectual content; all authors had access and approved the last version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for endoscopic procedures and for the publication of this report.
Conflict-of-interest statement: Authors declare no conflict of interest regarding this manuscript.
Corresponding author: Rodrigo Soto-Solis, MD, MHA, Adjunct Professor, Department of Endoscopy, National Medical Center November 20TH, ISSSTE, 540 Felix Cuevas Avenue, Del Valle, Benito Juarez, Mexico City 03229, Mexico. rodrigosotomd@hotmail.com
Telephone: +52-551-9591008 Fax: +52-555-7661699
Received: May 10, 2019
Peer-review started: May 14, 2019
First decision: May 31, 2019
Revised: June 5, 2019
Accepted: June 20, 2019
Article in press: June 21, 2019
Published online: July 16, 2019
Processing time: 69 Days and 8.2 Hours
Peer-review started: May 14, 2019
First decision: May 31, 2019
Revised: June 5, 2019
Accepted: June 20, 2019
Article in press: June 21, 2019
Published online: July 16, 2019
Processing time: 69 Days and 8.2 Hours
Core Tip
Core tip: Rectal Dieulafoy's lesion (DL) represents an unusual cause of lower gastrointestinal bleeding. A 44-year-old female with medical history of chronic renal failure presented massive rectal bleeding. After proper initial management, an urgent colonoscopy was performed. A rectal DL was diagnosed and successfully treated with two hemoclips without recurrence of hemorrhage. Endoscopy is the reference standard for the diagnosis and treatment of these lesions.