Jejunal Dieulafoy Lesion Detected by Intraoperative Endoscopy in a Child
| Author | Hsun-Chin Chao | en |
| Author | Shao-Hsuan Hsia | en |
| Author | Yung-Ching Ming | en |
| Author | Chuen Hsueh | en |
| Issued Date | 2016-12-31 | en |
| Abstract | Introduction: Dieulafoy lesion is an unusual cause of gastrointestinal bleeding in which significant, and often recurrent, hemorrhage occurs from a pinpoint non-ulcerated arterial lesion. It is usually located in gastric fundus, and is extremely rare in children. Case Presentation: In this study, we present a male adolescent with jejunal Dieulafoy lesion. The patient was admitted to the hospital due to hematochezia and hypotension. No active bleeders were identified on endoscopy, colonoscopy, and double-balloon enteroscopy. Computed tomography angiography revealed active bleeders in jejunum. An intraoperative enteroscopy, using flexible endoscopy, revealed a jejunal Dieulafoy lesion with spurting bleeding. The patient was successfully treated by bowel resection. Conclusions: Intraoperative endoscopy is a relatively efficient and safe modality for evaluating the bleeding Dieulafoy lesion in the small intestine, and is essential for directing surgery. | en |
| DOI | https://doi.org/10.5812/ijp.7727 | en |
| Keyword | Dieulafoy Lesion | en |
| Keyword | GI Bleeding | en |
| Keyword | Jejunum | en |
| Keyword | Intraoperative Endoscopy | en |
| Keyword | Child | en |
| Publisher | Brieflands | en |
| Title | Jejunal Dieulafoy Lesion Detected by Intraoperative Endoscopy in a Child | en |
| Type | Case Report | en |