Torchio Ludovica

Department of Obstetric and Gynecological, Sant'Anna Obstetric and Gynecological Hospital, 10126 Torino TO, Italy

Publications

• Case Report   
  Life-threatening hematemesis in pregnant woman from gastric Dieulafoy?s lesion: A case report and literature review
  Author(s): Torchio Ludovica*, Chiadò Piat Francesca, Varalda Alessia, Angera Simone, Giudici Gabriele and Baù Maria Grazia
  
  We present a case of massive hematemesis due to a bleeding gastric Dieulafoy’s Lesion (DL) in a 30 weeks’ pregnant patient. DL is in an abnormally large diameter artery which runs within the submucosal layer of the gastrointestinal or respiratory tracts; DL can rupture causing a potentially life-threatening hemorrhage. To date, only three cases of bleeding DL in pregnant patients have been reported in the literature. Although DL is not frequently encountered in young women, pregnancy can be a predisposing factor. DL diagnosis is often insidious in our case since the extensive bleeding could not allow proper visualization, two esophagogastroduodenoscopies and one angiography were necessary to eventually detect the lesion. Combined endoscopic therapy with local epinephrine injection and endoclip placement was needed to stop the hemorrhage allowing successful treatment of our.. View More»
  

  Abstract PDF