Ulcère de Dieulafoy gastrique : Une cause rare d’hémorragie digestive massive: à propos d’une observation histologiquement confirmée Dieulafoy gastric ulcer: A rare cause of massive upper gastrointestinal bleeding: about a histologically confirmed observation
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Abstract
L’ulcère de Dieulafoy est une cause rare d’hémorragie digestive massive pouvantêtre fatale. Le saignement se produit à partir d’une anomalie vasculaire définiepar la présence dans la sous- muqueuse, d’une artère aberrante anormalementlarge. La localisation gastrique est la plus fréquemment rapportée mais de rarescas ont été confirmés à l’examen anatomopathologique.Nous rapportons l’observation d’un homme de 32 ans opéré en urgence pour unehémorragie digestive haute massive, menaçant le pronostic vital et ne permettantpas de localiser la lésion à l’examen endoscopique. Un ulcère de Dieulafoygastrique a été diagnostiqué en per opératoire, traité par wedge résection etconfirmé à l’examen histopathologique.
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