Endoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding

ACG Case Rep J. 2024 Apr 5;11(4):e01314. doi: 10.14309/crj.0000000000001314. eCollection 2024 Apr.

Abstract

Hematochezia due to recurrent bleeding from rectal Dieulafoy can be challenging for endotherapy. We report the first case of successful endoscopic ultrasound-guided coil embolization of a feeding arteriole to the peripheral Dieulafoy vessels in the region of a colorectal anastomosis. The patient presented with recurrent lower gastrointestinal hemorrhage despite multiple previous conventional endoscopic treatment modalities.

Keywords: EUS; coil embolization; hematochezia/rectal bleeding; rectal dieulafoy.

Publication types

  • Case Reports