Evidence map›Paper›PMID 40091976›Full record

ArticleCureus2025

The Silent Bleeder: A Case of Recurrent Hemorrhage From a Dieulafoy's Lesion.

Vivie Tran, Diego Olavarria-Bernal, Subash Swarna, Neha Mittal

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vivie TranInternal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Diego Olavarria-BernalInternal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Subash SwarnaInternal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Neha MittalInternal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dieulafoy's lesion is a rare but potentially life-threatening cause of gastrointestinal (GI) bleeding. We report the case of a 75-year-old woman with a history of transient ischemic attack (TIA), hypertension, chronic obstructive pulmonary disease (COPD), and non-small cell lung cancer (NSCLC), who presented with dizziness, nausea, and abdominal pain. Initial evaluations revealed progressive anemia, though no source of bleeding was identified on imaging, nor were there external signs of bleeding. Endoscopy later confirmed an actively bleeding Dieulafoy's lesion, which was successfully treated with hemoclips. This case highlights the diagnostic challenges of Dieulafoy's lesion due to its intermittent bleeding and nonspecific presentation. Endoscopic intervention remains the first-line treatment, and early recognition is crucial to prevent life-threatening complications.

Indexed as

blood loss anemiadieulafoy lesionsgastro-intestinal bleedhemoclippingupper endoscopy

Identifiers

PMID40091976
PMCPMC11910965

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.