Dieulafoy&;s disease is: (A) Essentially features of poal gastropathy, (B) Essentially a gastric venous malformation that have a characteristic histological appearance appearance, (C) Essentially esophageal varices, (D) Cherry -red spot seen in poall hypeension
Answer is B. Dieulafoy&;s disease is a gastric aeriovenous malformation which is covered by apparently normal mucosa. It occurs in the proximal stomach near OG junction within 6 cm along the lesser curve in 80%.bleeding may occur and will be severe and torrential. Vasculitis is absent, angiography is done to confirm the disease, and to do therapeutic embolization using gel foam. Ref: SRB&; s manual of surgery,ed5, pg no 837