| Dieulafoy ulcer |
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This massive vessel with active bleeding was diagnosed in a 58 year- old patient, who presented
with tary stools. The first picture shows the lesion after injection of fibrin glue. The right
picture shows additionally applied hemoclips. Bleeding stopped at the end of the procedure, but
reccurred twice before the patient had to be treated surgically.
In dieu-la-foy ulcers an arterial vessel of abnormal size reaches the mucosa causing a tiny
ulzeration by permanent compression of the mucosal layer.
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At the time perforation takes place
the vessel reaches the lumen.
Dieu-la-foy hemorrhages are difficult to treat, recurrent bleeding is frequent.
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Ulcus simplex