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- Title
Life-threatening bleeding from gastric dieulafoy's lesion in a pregnant woman with hellp syndrome: a case report and literature review.
- Authors
Chen Si; Zhu Xiuli; Xie Li; Jia Yong; Zhou Ying; Zhang Kaiguang; Si, Chen; Xiuli, Zhu; Li, Xie; Yong, Jia; Ying, Zhou; Kaiguang, Zhang
- Abstract
<bold>Background: </bold>Dieulafoy's lesion (DL) is one of the rare causes of upper gastrointestional bleeding. This disease is characterized by small sub-mucosal arteriole that eroded the stomach mucosa and cause severe upper GI bleeding without obvious ulceration. The most common location is fundus area of stomach and usually affects patients over 50 years of age with multiple comorbidities.<bold>Case Presentation: </bold>We report a case of life-threatening bleeding from DL during late pregnancy 31 weeks. Hemoclips were used twice through upper endoscopy with successful hemostasis. Unfortunately, she developed HELLP syndrome diagnosed 5 days after the GI bleeding was stopped. Her pregnancy had to be terminated with delivery of a premature infant. She recovered from her illness and discharged from hospital uneventfully. There is no current report in literature of DL in pregnant woman subsequently suffered HELLP syndrome.<bold>Conclusion: </bold>Endoscopic hemoclip application is an effective technique in the treatment of upper GI bleeding from DL. For this patient, laparoscopic surgery or combination therapy before pregnancy may have been a suitable treatment on preventing rebleeding.
- Subjects
HELLP syndrome; GASTROINTESTINAL diseases; HEMORRHAGE; MUCOUS membranes; COMORBIDITY; TREATMENT of vascular diseases; GASTROINTESTINAL hemorrhage treatment; VASCULAR diseases; CARDIOVASCULAR diseases in pregnancy; GASTRIC mucosa; GASTROINTESTINAL hemorrhage; DISEASE complications; GASTRIC diseases; THERAPEUTICS
- Publication
BMC Gastroenterology, 2017, Vol 17, p1
- ISSN
1471-230X
- Publication type
journal article
- DOI
10.1186/s12876-017-0646-1