DIEULAFOY-LIKE LESION OF THE RECTUM PRESENTING WITH EXSANGUINATING HEMORRHAGE - SUCCESSFUL ENDOSCOPIC SCLEROTHERAPY

The classic Dieulafoy lesion is a minute gastric mucosal defect that b leeds massively from an exposed artery. Similar lesions have been iden tified in the small intestine, colon, and rectum. In this report, we d escribe a patient who presented with an exsanguinating hemorrhage from a small rectal ulcer with a visible vessel. Control of the bleeding w as achieved with endoscopic sclerotherapy using absolute alcohol and 1 .5% sodium tetradocyl sulfate, with eventual complete healing of the s ite.