Dieulafoy´s Lesion (Exulceratio Simplex) (1 of 6)

Here, you can observe in the video clip an active arterial bleeding. We recommend seeing it in full screen mode. A 79-year-old female patient which had a bifemoral-aortic surgery (prosthesis) 25 days previously; a week before this procedure, she initiates with upper gastrointestinal bleeding, with hematemesis, melenic stools, paleness and hypotension. She was hospitalized and a emergency endoscopy practiced by another college was performed after a series of ice cold gastric lavage. Due to the active bleeding, it was impossible to diagnose during this endoscopy. 5 days later, after, the bleeding re-started, she received 4 blood transfusions. We then performed a new endoscopy a day later being more aggressive, we used the Therapeutic endoscope, with double channel with a more suction power. After a successful aspiration of the blood and good maneuvering, then we were able to see the source of the bleeding.