Jejunal Dieulafoy’s lesion: case report and literature review
Dieulafoy’s lesions are rare and usually present in the stomach. There are only 18 cases of jejunal Dieulafoy’s lesion reported. It can present as a massive gastrointestinal bleed and a high grade of suspicion is necessary for a quick and effective approach. The authors present the case of a 14-year...
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| Veröffentlicht in: | Pediatric surgery international 2009-07, Vol.25 (7), p.641-642 |
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| container_title | Pediatric surgery international |
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| creator | Moreira-Pinto, João Raposo, Carlos Teixeira da Silva, Vitor Curado, João Barbosa, Eva Honavar, Minal Flemming Oliveira, José |
| description | Dieulafoy’s lesions are rare and usually present in the stomach. There are only 18 cases of jejunal Dieulafoy’s lesion reported. It can present as a massive gastrointestinal bleed and a high grade of suspicion is necessary for a quick and effective approach. The authors present the case of a 14-year-old adolescent with a sudden onset of hematochezia and shock. The high and low endoscopies as well as the arteriography were all inconclusive. An exploratory laparotomy was undertaken in the first 24 h of hospital admission. A review of the small bowel by advancing soft bowel clamps in a sequential manner revealed a bleeding lesion in the jejunum. The histological exam showed a Dieulafoy’s lesion. |
| doi_str_mv | 10.1007/s00383-009-2383-1 |
| format | Article |
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There are only 18 cases of jejunal Dieulafoy’s lesion reported. It can present as a massive gastrointestinal bleed and a high grade of suspicion is necessary for a quick and effective approach. The authors present the case of a 14-year-old adolescent with a sudden onset of hematochezia and shock. The high and low endoscopies as well as the arteriography were all inconclusive. An exploratory laparotomy was undertaken in the first 24 h of hospital admission. A review of the small bowel by advancing soft bowel clamps in a sequential manner revealed a bleeding lesion in the jejunum. 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| subjects | Adolescent Arteriovenous Malformations - complications Arteriovenous Malformations - surgery Case Report Female Follow-Up Studies Gastrointestinal Hemorrhage - etiology Humans Jejunal Diseases - complications Jejunal Diseases - surgery Jejunum - blood supply Jejunum - surgery Medicine Medicine & Public Health Pediatric Surgery Pediatrics Rare Diseases Shock - etiology Surgery |
| title | Jejunal Dieulafoy’s lesion: case report and literature review |
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