내시경적 전기응고술로 치료한 회장말단의 Dieulafoy양 병변 1예

초록

Dieulafoy's lesion is an uncommon source of massive gastrointestinal hemorrhage and is understood to represent a tiny submucosal defect with fibrinoid necrosis at its base, overlying a large, tortuous, thick-walled artery in the muscu- laris mucosa. The lesion predominantly occurs in the proxi- mal stomach, but may occur in all parts of the gastroin- testinal tract including small bowel, colon and rectum. Moreover, Dieulafoy's lesion of the terminal ileum is very rare. We herein report a case of a patient who presented with massive hematochezia from Dieulafoy's lesion of the terminal ileum which was successfully controlled with endo- scopic treatment by utilizing electrocoagulation. (Korean J Gastrointest Endosc 2001;23:499-502)

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