Dieulafoy’s Lesion-Like Bleeding: An Underrecognized Cause of Upper Gastrointestinal Hemorrhage in Patients with Advanced Liver Disease

Dieulafoy’s lesion is a gastrointestinal submucosal artery that ruptures into the lumen causing massive hemorrhage. Until recently, failure to diagnose and treat patients endoscopically may have necessitated blind gastrectomy. Because arteriolar spider nevi abound in patients with liver disease and bleeding from such lesions has been described in the upper… CONTINUE READING