A CASE REPORT OF ILEAL DIEULAFOY-TYPE ULCER TREATED BY ENDOSCOPIC CLIPPING

Abstract

A 50-year-old man was admitted because of sudden massive hematochezia. Abdominal enhanced CT scan revealed leakage of contrast media at the oral side of the terminal ileum. Emergency colonoscopy revealed spurting bleeding from an exposed vessel in a minute ulcer at about 30cm oral to the ileocecal valve. We diagnosed it as a Dieulafoy-type ulcer of the ileum. Endoscopic clipping was performed for the exposed vessel, by which the bleeding stopped. We reviewed the cases of Dieulafoy-type ulcers and a submucosal aneurysm of the small intestine reported before.