Dieulafoy Lesion of the Esophagus Causing Massive Upper Gastrointestinal Bleeding and Death A Case Report

作者：Christoffersen Rikke Kjaergaard^*; Nielsen Trine Skov; Vesterby Annie

来源：American Journal of Forensic Medicine and Pathology, 2012, 33(2): 186-187.

DOI：10.1097/PAF.0b013e318221be16

• upper gastrointestinal bleeding
• Dieulafoy lesion
• sudden death
• autopsy

Dieulafoy lesion is a rare cause of upper gastrointestinal bleeding. We present a case report of sudden and unexpected death in a previously healthy male where autopsy revealed a classic Dieulafoy lesion with a submucosal artery protruding through a small mucosal defect in the esophagus, thereby exposing it to stress and consequent rupture. Advances in endoscopic techniques have drastically reduced mortality from Dieulafoy lesion. Nevertheless, it is an important diagnosis to be kept in mind when autopsy reveals an upper gastrointestinal bleeding.

• 出版日期2012-6