Arterial embolization for Dieulafoy bleeding

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Abstract

Background

Dieulafoy's lesion is a rare cause of gastrointestinal haemorrhage. It has traditionally been treated either endoscopically or with open surgery.

Aim

To describe a case treated by arterial embolization.

Results

Initially the patient was embolized with Gelfoam pledgets but re-bled at 7 days, the procedure was repeated with fibre coils, there was no further bleeding.

Conclusion

Arterial embolization is being used increasingly as a first line of treatment as it is fast and minimally invasive with few complications.

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