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Case Report
 
Simultaneous Dieulafoy's lesion and marginal ulcer in gastric bypass patient
Vinay S Gundlapalli1, Arunkumar Baskara1, Susan Suozzo2, Brandon Oconnell3
1MD MRCS, Mercy Catholic Medical Center, Philadelphia.
2MA, Kansas City University of Medicine and Biosciences.
3FACS, Mercy Catholic Medical Center, Philadelphia.

doi:10.5348/ijcri-2013-06-317-CR-2

Address correspondence to:
Dr. Vinay S Gundlapalli
Lansdowne towers appt 109 B
Aldan, PA 19018
USA
Phone: 2154953783
Email: vinaygsagar@gmail.com

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How to cite this article:
Gundlapalli VS, Baskara A, Suozzo S, Oconnell B. Simultaneous Dieulafoy’s lesion and marginal ulcer in gastric bypass patient. International Journal of Case Reports and Images 2013;4(6):299–302.


Abstract
Introduction: Dieulafoy's lesion is one of the rare causes for gastrointestinal hemorrhage. Marginal ulcer is an anastamotic ulcer in the gastric pouch of a gastric bypass patient is a common cause gastrointestinal hemorrhage.
Case Report: We report a case of 27-year-old female who had undergone laparoscopic gastric bypass surgery who presented with gastrointestinal hemorrhage. Upper gastrointestinal endoscopy demonstrated a Dieulafoy’s lesion and a marginal ulcer in the gastric pouch. The Dieulafoy’s lesion was successfully managed with epinephrine injection and clip application. The marginal ulcer was not the bleeding source.
Conclusion: To our knowledge this is the first reported case of simultaneous Dieulafoy lesion and marginal ulcer in a gastric pouch of a gastric bypass patient.

Keywords: Dieulafoy's lesion, Marginal ulcer, Gastric bypass, Gastrointestinal hemorrhage


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Author Contributions
Vinay S Gundlapalli – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Arun Baskara– Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Susan Souzzo– Substantial Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Brandon Oconnell– Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Vinay S Gundlapalli et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)