Bleeding – From Surgical Hemostasis to Emergency Management
Dieulafoy´s Lesion (Exulceratio Simplex) (5 of...
Dieulafoy´s Lesion (Exulceratio Simplex) Maneuvers of cleaner was made due to bleeding. Bleeding originates within 5 to 6 cm of the esophagogastric junction in 80% of cases.
Dieulafoy´s Lesion (Exulceratio Simplex) (4 of...
Dieulafoy´s Lesion (Exulceratio Simplex) The image and the video clip displays bleeding which should be cleaned. Although reports from the pre-endoscopic era suggested a mortality rate of up to 80%...
Dieulafoy´s Lesion (Exulceratio Simplex) (3 of...
Dieulafoy´s Lesion (Exulceratio Simplex) A biopsy was taken, abnormal bleeding was noted. Dieulafoy´s varied endoscopic appearance includes active bleeding from a pinpoint mucosal defect, or a visible...
Dieulafoy´s Lesion (Exulceratio Simplex) (2 of...
Dieulafoy´s Lesion (Exulceratio Simplex) Dieulafoy´s Lesion is a vascular abnormality found almost exclusively in the proximal stomach that presents dramatically as acute and rapidly recurrent massive...
Dieulafoy´s Lesion (Exulceratio Simplex) (1 of...
A 70 year-old female, who was hospitalized due to gastrointestinal hemorrhage. The image and video displaying here is a small ulceration in a gastric fold at the anterior wall of the proximal corpus.
Dieulafoy´s Lesion (Exulceratio Simplex) (6 of...
Here you can observe part of the previous endoscopy practiced one day before where we almost discovered this lesion hidden beneath the blood clot.
Dieulafoy´s Lesion (Exulceratio Simplex) (5 of...
Final status of the exulceratio simplextreated with APC
Dieulafoy´s Lesion (Exulceratio Simplex) (4 of...
In this image and video you can observe the blood contents of the lesion.
Dieulafoy´s Lesion (Exulceratio Simplex) (3 of...
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...
Dieulafoy´s Lesion (Exulceratio Simplex) (2 of...
Dieulafoy´s Lesion (Exulceratio Simplex) In order to make hemostasis, we used the Argon Plasma Coagulator (APC) It is important to notice that we experienced technical difficulties with the APC which...
Dieulafoy´s Lesion (Exulceratio Simplex) (1 of...
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...
Erosions of the Antrum (1 of 7)
Grossly, most erosions and acute ulcers appear as well-defined hemorrhagic lesions 1 to 2 mm in diameter. If the insult is severe, the mucosa between the lesions is intensely hemorrhagic. Microscopically,...
Upper Gastrointestinal Bleeding
Anterior wall gastric ulcer The patient has his first hemorrhage as a cause of anterior wall of the antrum and portal hypertensive gastropathy, after that, he had five hemorrhages as a cause of acute...
Upper Gastrointestinal Bleeding (15 of 15)
Another image and video of this endoscopic sequence. The antrum is observed with diffuse redness and rest of blood. Occasionally, a gross horizontal fibrous contracture in association with long-standing...
Upper Gastrointestinal Bleeding (14 of 15)
Another image and video clip of the ulcers, we now observe little signs of bleeding. After the second endoscopy, the bleeding was stop entirely. This can be seen in the video, that the bleeding was...
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