Author(s)

Rajae Bounour, Amal Mejait, Maria Lahlali, Asmae Lamine, Hakima Abid, Hakima Abid, Amine Mekkaoui, Mounia Elyousfi, Dafrallah Benajeh, Mohamed El Abkari, Sidi Adil Ibrahimi, Nada Lahmidani

Hepato-Gastroenterology Department, CHU Hassan II, Fez, Morocco.

Dieulafoy lesion (DL) is a rare source of gastrointestinal tract bleeding that can affect any site of the gastrointestinal tract, particularly the stomach and less commonly the duodenum. Early endoscopy during a bleeding episode is essential for an accurate diagnosis and sometimes multiple endoscopies are needed to establish the diagnosis. In this report, we describe a case of duodenal DL detected and treated by endoscopy. We report the case of a 65-year-old patient admitted for massive upper gastrointestinal bleeding due to a Dieulafoy lesion of the duodenum. Endoscopic diagnosis and treatment were possible and hemostasis was achieved by injecting adrenaline and placing 3 clips. Various effective endoscopic techniques are available to control bleeding, the combination of injection therapy and mechanical therapy reduces the risk of recurrence.

Dieulafoy’s Lesion, Endoscopy, Hemostatic Clips

Bounour, R. , Mejait, A. , Lahlali, M. , Lamine, A. , Abid, H. , Abid, H. , Mekkaoui, A. , Elyousfi, M. , Benajeh, D. , Abkari, M. , Ibrahimi, S. and Lahmidani, N. (2022) Dieulafoy’s Lesion of the Duodenum: The Management of This Unusual Location. Case Reports in Clinical Medicine, 11, 268-272. doi: 10.4236/crcm.2022.117039.