Case Report-Anorectal Dieulafoy's lesion

Dieulafoy's lesion is a rare but well-recognized cause of life-threatening bleeding from the gastrointestinal tract, especially upper gastrointestinal tract, resulting due to rupture of an exposed submucous artery. With the advances in endoscopy and awareness of Dieulafoy's lesion as the cause of massive bleeding in the anorectal region, it has gained the reputation of an unusual but important cause of lower gastrointestinal hemorrhage also. We describe a 45-year-old female with a Dieulafoy's lesion at the anorectal junction who presented with massive lower gastrointestinal bleed. Endoscopic management was tried but failed and the patient was managed surgically. A brief review of the relevant literature is also presented