Recurrent bleeding from a Dieulafoy’s lesion of the cecum – a case report

Česká verzia

Authors: M. Tomáš; P. Hříbek ; T. Grega ; Zuzana Vacková ; J. Csomor ; Štěpán Suchánek ; Petr Urbánek
Authors place of work: Interní klinika 1. LF UK a ÚVN – VFN Praha
Published in the journal: Gastroent Hepatol 2026; 80(1): 65-68
Category: Digestivní endoskopie: kazuistika
doi: https://doi.org/10.48095/ccgh202665

Summary

We present a case report of recurrent bleeding from a Dieulafoy’s lesion in the cecum. This is a rare cause of bleeding into the lower gastrointestinal tract, clinically manifesting from minor to massive bleeding with the development of severe microcytic anemia requiring hospitalization and blood transfusion. Diagnosis and therapy are based on endoscopic examination of the lower digestive tract and are considerably limited by the intermittent nature of the bleeding, which often results in false negative findings. Treatment is based on achieving hemostasis utilizing endoscopic methods such as adrenaline injection, argon plasma coagulation, and using hemoclips. Only a few case reports of Dieulafoy’s lesions in the colon have been described in the available literature. Even though the lesion is rare, it is necessary to consider it in the differential diagnosis of anemia, especially in cases with negative results of the initial endoscopic examination.

Keywords:

endoscopy – Dieulafoy’s lesion – bleeding – colon

Zdroje

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Doručeno/Submitted: 27. 10. 2025

Přijato/Accepted: 19. 11. 2025

Korespondenční autor

MUDr. Petr Hříbek, Ph.D.

Interní klinika

1. LF UK a ÚVN –⁠ VFN Praha

U Vojenské nemocnice 1200/1

169 02 Praha 6

petr.hribek@uvn.cz