Massive Gastrointestinal Bleeding From a Jejunal Dieulafoy's Lesion
| Autor: | Palashkumar Jaiswal, Mairin Joseph-Talreja, John Anthony Teotico, Evan Grossman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Enteroscopy
medicine.medical_specialty Gastrointestinal bleeding business.industry Stomach Case Report General Medicine Dieulafoy's lesion medicine.disease Hematochezia Small Bowel Surgery Lesion Jejunum 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Submucosa medicine 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| DOI: | 10.14309/crj.0000000000000400 |
| Popis: | Dieulafoy's lesion is a histologically normal arteriole that has failed to progressively narrow as it navigates through the submucosa. It is a rare cause of massive gastrointestinal bleeding, occurring most often in the stomach, with only 1% of lesions occurring in the jejunum. We present the case of a 21-year-old man who presented with massive hematochezia ultimately attributed to a distal jejunal Dieulafoy's lesion, identified via an intraoperative surgically assisted deep enteroscopy. This case is unique not only regarding the unusual location of the lesion but also regarding the multidisciplinary approach necessitated for the management of this catastrophic hemorrhage that avoided surgical resection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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