Recurrent bleeding from a Dieulafoy’s lesion of the cecum – a case report

Summary: We present a case report of recurrent bleeding from a Dieulafoy’s lesion in the cecum. This is a rare cause of bleeding into the lower gastrointestinal tract, clinically manifesting from minor to massive bleeding with the development of severe microcytic anemia requiring hospitalization and blood transfusion. Diagnosis and therapy are based on endoscopic examination of the lower digestive tract and are considerably limited by the intermittent nature of the bleeding, which often results in false negative findings. Treatment is based on achieving hemostasis utilizing endoscopic methods such as adrenaline injection, argon plasma coagulation, and using hemoclips. Only a few case reports of Dieulafoy’s lesions in the colon have been described in the available literature. Even though the lesion is rare, it is necessary to consider it in the differential diagnosis of anemia, especially in cases with negative results of the initial endoscopic examination.