Endoscopic management of Dieulafoy’s lesion using Isoamyl-2-cyanoacrylate

Figure 1 Dieulafoy’s lesion in male patient presented with active haematemesis. Note the haemorrhagic arterior in greater gastric curvature.

Figure 2 Injection of Dieulafoy‘s lesion with 1 cm Isoamyl 2-Cyanoacrylate dissolved in 1 cm Lipidol, 1:1 ratio.

Figure 3 Successfully Injected dieulafoy (arrow) and no more bleeding.

Figure 4 Erect X-ray, showing Dieulafoy large Arteriole after Iso Amyl-2-cyanoacrylate injection. It opens directly into the gastric cavity. Note the large caliber of the Arteriole (arrow) corresponding to the adjacent Lumbar Vertebra (arrow head).