Abstract:
Gastrointestinal (GI) bleeding is associated with
significant mortality and a prompt search and
treatment of the etiology is important. Upper GI
endoscopy is the gold standard for diagnosis and
treatment after initial resuscitation of the patient. In
a majority of cases, the cause will be easily identified
during endoscopy. Dieulafoy’s lesion, a caliber
persistent artery in the submucosa, is a rare but
important cause of intermittent painless massive GI
bleeding. Due to its intermittent nature, it can easily
be missed and often requires multiple endoscopic
evaluations. We present a case of one such patient
with subsequent endoscopic findings and successful
treatment along with a review of the literature.
