Dieulafoy's disease is an unusual cause of gastrointestinal hemorrhage, rep
orted to account for less than 2 % of acute gastrointestinal bleeding episo
des. Bleeding occurs from a defect in an unusually large submucosal artery,
through a minute mucosal erosion. Endoscopic diagnosis is sometimes diffic
ult, but primary endoscopic therapy may be successful and should be attempt
ed. In most cases the lesion is found in the proximal stomach. Sixteen case
s of Dieulafoy's lesion located in the colon have been reported in the lite
rature but only nine have been confirmed by histology.
We present the case of a 63 year-old male with Dieulafoy's lesion of the tr
ansverse colon which was diagnosed by endoscopy and confirmed by histology.