Symptoms
The symptoms due to bleeding are hematemesis and/or melena.
| Presenting Symptoms | |
|---|---|
| Recurrent hematemesis with melena | 51% of cases |
| Hematemesis without melena | 28% of cases |
| Melena with no hematemesis | 18% of cases |
A Dieulafoy's lesion is difficult to diagnose, because of the intermittent pattern of bleeding. Endoscopically it is not easy to recognize and therefore sometimes multiple views have to be performed over a longer period. Today angiography is a good additional diagnostic, but then it can only be seen during a bleeding at that exact time.
Read more about this topic: Dieulafoy's Lesion
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