Dieulafoy’s Lesion of the Nasal Mucosa: A Case of Recurrent Epistaxis From Submucosal Arterial Malformation

摘要

Dieulafoy’s lesions (DLs) were first described by the French surgeon Georges Dieulafoy in 1898 in his report of 3 cases of upper gastrointestinal (GI) bleeding in the proximal stomach, resulting in fatal gastric hemorrhage in otherwise asymptomatic young men.1 While most cases present in the stomach or along the GI tract, there are reports of the lesion in extra-gastrointestinal locations such as the bronchus and head and neck.2 In the head and neck, the pathology is conserved but is referred to as either cirsoid aneurysm (on the scalp) or submucosal arterial malformation.3 DLs are a source of profound bleeding, and to our knowledge, this is the first report of a DL as a source of recurrent epistaxis.