{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:44:37Z","timestamp":1757310277953,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,22]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>A Dieulafoy\u2019s lesion is a rare cause of massive gastrointestinal (GI) bleeding. It represents an abnormally dilated submucosal artery that erodes the overlying epithelium in the absence of a primary ulcer. These lesions are usually located in the stomach, nevertheless, they have been found in all areas of the GI tract, including the oesophagus, duodenum and colon. Bleeding episodes are often self-limited, although bleeding can be recurrent and profuse. The case describes a 50-year-old woman who developed haemorrhagic shock secondary to a rectal Dieulafoy\u2019s lesion and discusses the diagnostic and therapeutic approaches.<\/jats:p>","DOI":"10.1136\/bcr-2021-244264","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T22:50:14Z","timestamp":1631141414000},"page":"e244264","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Incidental massive lower gastrointestinal hemorrhage caused by a rectal Dieulafoy\u2019s lesion"],"prefix":"10.1136","volume":"14","author":[{"given":"Genesis","family":"Perez Del Nogal","sequence":"first","affiliation":[{"name":"Internal Medicine, Texas Tech University Health Sciences Center School of Medicine Permian Basin, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rangesh","family":"Modi","sequence":"additional","affiliation":[{"name":"Internal Medicine, Texas Tech University Health Sciences Center School of Medicine Permian Basin, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivania","family":"Salinas","sequence":"additional","affiliation":[{"name":"Internal Medicine, Texas Tech University Health Sciences Center School of Medicine Permian Basin, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalyan","family":"Chakrala","sequence":"additional","affiliation":[{"name":"Gastroenterology, Medical Center Hospital, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,8]]},"reference":[{"key":"2025082710312126000_14.9.e244264.1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2003.328"},{"key":"2025082710312126000_14.9.e244264.2","article-title":"Colonic dieulafoy's lesion: a rare cause of lower gastrointestinal hemorrhage and review of endoscopic management","volume":"2014","author":"Ma","year":"2014","journal-title":"Case Rep Gastrointest Med"},{"key":"2025082710312126000_14.9.e244264.3","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-223246","article-title":"Dieulafoy\u2019s lesion of the duodenum: a comparative review of 37 cases","volume":"2018","author":"Inayat","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082710312126000_14.9.e244264.4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.amsu.2019.07.022","article-title":"Rare case of upper gastrointestinal bleeding: dieulafoy' S lesion of duodenum. 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