{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:54:20Z","timestamp":1777877660446,"version":"3.51.4"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dieulafoy lesions (DLs) are a rare cause of upper gastrointestinal bleeding (UGIB), accounting for about 1% of cases, and are more frequent in adult males. They can lead to hemodynamic instability and hypovolemic shock. Initial management is typically endoscopic, tailored to the patient\u2019s clinical condition; however, surgical intervention is indicated in cases of persistent or severe instability. Hemodynamic support is essential to improve survival. Initial resuscitation in hypovolemic shock remains challenging, as fluid replacement must be guided by specific hemodynamic goals. Management includes not only crystalloids but also transfusion of blood products, such as packed red blood cells, fresh frozen plasma, and platelets, to maintain adequate perfusion and tissue oxygenation. We report the case of a female patient with UGIB secondary to a Dieulafoy lesion, successfully managed with targeted fluid resuscitation, blood products, vasopressors, and definitive surgical intervention, leading to resolution of bleeding and stabilization of her clinical condition.<\/jats:p>","DOI":"10.1093\/jscr\/rjag332","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:33:24Z","timestamp":1777116804000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report: Dieulafoy lesion in the stomach as a rare cause of upper gastrointestinal bleeding"],"prefix":"10.1093","volume":"2026","author":[{"given":"Jesus Sebastian","family":"Luna Medrano","sequence":"first","affiliation":[{"name":"Medicine, Universidad Nacional Jos\u00e9 Faustino Sanchez Carri\u00f3n , Av. Mercedes Indacochea N\u00ba 600, Huacho 15136 ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maylin Abigail","family":"Matienzo Rafael","sequence":"additional","affiliation":[{"name":"Medicine, Universidad Cesar Vallejo , Av. V\u00edctor Larco 1770, distrito de V\u00edctor Larco Herrera, Trujillo 13001 ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Royler R","family":"Flores-Catiri","sequence":"additional","affiliation":[{"name":"Medicine, Hospital Regional de Huacho , Ciro Alegr\u00eda, 271, Huacho 15136 ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Chunga","sequence":"additional","affiliation":[{"name":"Medicine, Hospital Regional de Huacho , Ciro Alegr\u00eda, 271, Huacho 15136 ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosita","family":"Gomero","sequence":"additional","affiliation":[{"name":"Medicine, Hospital Regional de Huacho , Ciro Alegr\u00eda, 271, Huacho 15136 ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3675-8216","authenticated-orcid":false,"given":"Paolo Augusto","family":"Romero Merino","sequence":"additional","affiliation":[{"name":"Family Medicine, Gerencia de Atenci\u00f3n Primaria Valladolid Este , C\/ Cardenal Torquemada, 54. C.P.: 47010 Valladolid ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"2026043018580846400_ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/nrdp.2018.20","article-title":"Non-variceal upper gastrointestinal bleeding","volume":"4","author":"Lanas","year":"2018","journal-title":"Nat Rev Dis Primers"},{"key":"2026043018580846400_ref2","doi-asserted-by":"crossref","DOI":"10.1016\/j.sipas.2020.100004","article-title":"Acute upper gastrointestinal bleeding: a review","volume":"1","author":"Weledji","year":"2020","journal-title":"Surgery in Practice and Science"},{"key":"2026043018580846400_ref3","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.disamonth.2018.02.003","article-title":"Evaluation and management of non-variceal upper gastrointestinal bleeding","volume":"64","author":"Samuel","year":"2018","journal-title":"Disease-a-Month"},{"key":"2026043018580846400_ref4","first-page":"9","article-title":"Aspectos cl\u00ednicos y etiol\u00f3gicos de la hemorragia digestiva Alta y sus escalas de evaluaci\u00f3n","volume":"33","author":"Cuartas","year":"2020","journal-title":"Medicas UIS"},{"key":"2026043018580846400_ref5","article-title":"The Baader-Meinhof phenomenon of Dieulafoy\u2019s lesion","volume":"11","author":"Kolli","year":"2019","journal-title":"Cureus"},{"key":"2026043018580846400_ref6","doi-asserted-by":"crossref","first-page":"e00400","DOI":"10.14309\/crj.0000000000000400","article-title":"Massive gastrointestinal bleeding from a jejunal Dieulafoy\u2019s lesion","volume":"7","author":"Jaiswal","year":"2020","journal-title":"ACG Case Rep J"},{"key":"2026043018580846400_ref7","doi-asserted-by":"crossref","first-page":"106157","DOI":"10.1016\/j.ijscr.2021.106157","article-title":"Dieulafoy\u2019s lesion in the cecum: a rare case report presentation","volume":"84","author":"Ribeiro","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2026043018580846400_ref8","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s43066-021-00137-0","article-title":"Massively bleeding Dieulafoy lesion and unique rescue: a video based case report from National Liver Institute, Menoufia university","volume":"11","author":"Alhaddad","year":"2021","journal-title":"Egypt Liver Journal"},{"key":"2026043018580846400_ref9","doi-asserted-by":"crossref","first-page":"14","DOI":"10.5377\/rcfh.v5i1.8680","article-title":"Lesi\u00f3n de Dieulafoy en el yeyuno. Presentaci\u00f3n de Caso y revisi\u00f3n de la literatura","volume":"5","author":"Dur\u00e1n L\u00f3pez","year":"2019","journal-title":"Rev cienc forenses Honduras"},{"key":"2026043018580846400_ref10","doi-asserted-by":"crossref","first-page":"2324709620987703","DOI":"10.1177\/2324709620987703","article-title":"Jejunal Dieulafoy\u2019s lesion: a systematic review of evaluation, diagnosis, and management","volume":"9","author":"Malik","year":"2021","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2026043018580846400_ref11","doi-asserted-by":"crossref","first-page":"295","DOI":"10.4253\/wjge.v7.i4.295","article-title":"Gastrointestinal bleeding from Dieulafoy\u2019s lesion: clinical presentation, endoscopic findings, and endoscopic therapy. 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