Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 5013-5018
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.5013
Massive gastrointestinal bleeding caused by a Dieulafoy’s lesion in a duodenal diverticulum: A case report
Zhi-Wei He, Ling Zhong, Hui Xu, Hua Shi, Yang-Mei Wang, Xiao-Cong Liu
Zhi-Wei He, Ling Zhong, Hui Xu, Hua Shi, Yang-Mei Wang, Department of Gastroenterology and Hepatology, Ziyang First People’s Hospital, Ziyang 641300, Sichuan Province, China
Xiao-Cong Liu, Department of Gastroenterology and Hepatology, Chengdu Second People's Hospital, Chengdu 610017, Sichuan Province, China
Author contributions: He ZW performed the endoscopy examination; Zhong L performed the endoscopic treatment; Xu H provided guidance during the treatment process; Shi H and Wang YM assisted during the treatment process; Liu XC acquired all data and wrote the manuscript.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest associated with this study.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Cong Liu, MD, PhD, Attending Doctor, Department of Gastroenterology and Hepatology, Chengdu Second People's Hospital, No. 10 South Qingyun Street, Chengdu 610017, Sichuan Province, China. xiaocongliu1981@yeah.net
Received: June 22, 2020
Peer-review started: June 22, 2020
First decision: July 28, 2020
Revised: July 30, 2020
Accepted: September 2, 2020
Article in press: September 2, 2020
Published online: October 26, 2020
Core Tip

Core Tip: Dieulafoy’s lesion is a rare vascular abnormality characterized by a small artery with an abnormally dilated caliber that runs a tortuous course in the submucosa. Bleeding caused by a Dieulafoy’s lesion is frequently urgent and massive, prone to recurrence, and life-threatening. Dieulafoy’s lesions have been reported throughout the digestive tract, but have rarely been reported inside a duodenal diverticulum.