{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T07:13:15Z","timestamp":1780557195606,"version":"3.54.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Dieulafoy lesions (DL) are an uncommon cause of gastrointestinal bleeding which is often difficult to diagnose due to the rarity of the condition and varying clinical presentations. This case describes an unusual presentation of upper gastrointestinal bleeding in an 85-year-old female with findings on two separate gastroscopies of both a gastric ulcer and duodenal DL. The pathophysiology of DL remains poorly understood and despite shared risk factors, these two pathologies are rarely reported concurrently. The presence of a concomitant gastric ulcer further complicated the diagnosis and treatment of the duodenal DL in this case. This highlights the importance of clinician awareness of this pathology and its presentation and the need for early repeat endoscopy.<\/jats:p>","DOI":"10.1093\/jscr\/rjae122","type":"journal-article","created":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T21:46:02Z","timestamp":1710107162000},"source":"Crossref","is-referenced-by-count":1,"title":["A diagnostic dilemma: a case report of concomitant duodenal Dieulafoy lesion and gastric ulcer"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6424-0700","authenticated-orcid":false,"given":"Lauren","family":"Wallace","sequence":"first","affiliation":[{"name":"The Royal Melbourne Hospital Department of General Surgery, , 300 Grattan Street, Parkville, Victoria, 3052, Australia"},{"name":"Grampians Health Wimmera Base Hospital Department of Surgery, , 83 Baillie Street, Horsham, Victoria, 3400, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Grampians Health Wimmera Base Hospital Department of Surgery, , 83 Baillie Street, Horsham, Victoria, 3400, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"2024031021455605100_ref1","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/MCG.0000000000000321","article-title":"The dieulafoy's lesion: an update on evaluation, diagnosis, and management","volume":"49","author":"Nguyen","year":"2015","journal-title":"J Clin Gastroenterol"},{"key":"2024031021455605100_ref2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.gie.2020.12.015","article-title":"Dieulafoy's lesion of the upper GI tract: a comprehensive nationwide database analysis","volume":"94","author":"Wang","year":"2021","journal-title":"Gastrointest 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literature review","volume":"2017","author":"Inayat","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2024031021455605100_ref11","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.gie.2014.12.001","article-title":"Colonic Dieulafoy's lesion","volume":"81","author":"Kumar","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"2024031021455605100_ref12","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1136\/postgradmedj-2019-136503","article-title":"Dieulafoy's lesion of the rectum","volume":"95","author":"Eum","year":"2019","journal-title":"Postgrad Med J"},{"key":"2024031021455605100_ref13","first-page":"e9170","article-title":"Dieulafoy's lesion: decade-long trends in hospitalizations, demographic disparity, and outcomes","volume":"12","author":"Chakinala","year":"2020","journal-title":"Cureus"},{"key":"2024031021455605100_ref14","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1111\/jpc.14862","article-title":"Dieulafoy's lesion: a 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