Role of imaging and endovascular radiology in endoscopically missed Dieulafoy's lesion of stomach - A case report with review.
Divyesh DadhaniaValakkada JineeshAnoop AyyappanSanthosh KannathPublished in: BJR case reports (2022)
Dieulafoy's lesion is an uncommon cause of life-threatening gastrointestinal bleed from a dilated and tortuous submucosal artery. With the advent of endoscopy-guided intervention, the mortality of the condition has reduced significantly from 80 to 8%. Imaging plays a vital role in diagnosing them in endoscopically negative cases. Endovascular management can also be offered for unidentified lesions or failed endoscopic treatment. We report a middle-aged male with acute hematemesis where endoscopy was unable to reveal the source of the bleed. Contrast CT detected the lesion, which was embolised by endovascular route. The clinical details, imaging appearance and treatment of this uncommon lesion is presented.
Keyphrases
- high resolution
- middle aged
- aortic dissection
- randomized controlled trial
- machine learning
- gene expression
- cardiovascular disease
- artificial intelligence
- ultrasound guided
- cardiovascular events
- magnetic resonance imaging
- single cell
- fluorescence imaging
- mass spectrometry
- deep learning
- extracorporeal membrane oxygenation