Resumen

FERNANDEZ, L et al. Enfermedad Vascular de Dieulafoy como una Emergencia Quirúrgica: Revisión. RFM [online]. 2000, vol.23, n.2, pp.113-116. ISSN 0798-0469.

A case of Dieulafoy’s illness in a female 51 years old presenting an important upper gastrointestinal bleeding with haemodinamic failure is reported. Emergency laparatomy was performed and it showed hemorrhagic fundus lesion. Diagnosis was made by histopathology studies; situs inversus of abdominal organs was also seen. The patient died in inmediate postoperative period. This unusual illness causes upper gastrointestinal tract bleeding and its diagnosis is performed either by endoscopy or laparatomy, showing bleeding in a middle caliber artery of upper stomach. The traditional treatment has been abdominal surgery, but recently, upper endoscopy has become an alternative for diagnosis and therapeutic procedures. Theorical and analytic considerations of this rare disease are made in relation with the present case.

Palabras clave : Dieulafoy’s illness; Upper gastrointestinal bleeding; Vascular ectasy.