You can observe another image and video of the hemostasis performed by the Argon Plasma Coagulator (APC) Dieulafoy, a French surgeon, described three cases in 1898, but the first case was in fact described by Gallard in 1884. Dieulafoy called the lesion “exulceratio simplex”, because of its small size, and because of the large underlying artery which was normal on histological examination. The lesion has also been given other names: calibre-persistent artery, gastric arteriosclerosis, cirsoid aneurysm, and submucosal arterial malformation. Dieulafoy’s lesion is inherently a difficult lesion to recognise, especially when bleeding is inactive. Nevertheless, it should be considered during the evaluation of any unexplained acute and recurrent major gastrointestinal bleeding.
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