CALIBER-PERSISTENT ARTERY (DIEULAFOYS ULCER) OF THE STOMACH - AN UNRECOGNIZED CAUSE OF RECURRENT UPPER GASTROINTESTINAL-BLEEDING - A CASE-REPORT

Dieulafoy's ulcer is a submucous vascular malformation usually located in the gastric fundus. This lesion can be the cause of recurrent, mas sive gastrointestinal bleeding that can cause a high fatality rate if the condition remains unrecognized. Because the lesion is very small i t can be easily overlooked at endoscopy. The authors describe a case o f Dieulafoy's ulcer, presenting as repetitive episodes of upper gastro intestinal hemorrhage, that was treated successfully by suture ligatio n of the bleeding lesion. Increased awareness of this condition is nec essary for an earlier diagnosis and prevention of fatal massive bleedi ng.