Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion


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Kozan R., Gülen M., Yılmaz T. U., Leventoğlu Ö. S., Yılmaz E.

Ulusal Cerrahi Dergisi, vol.30, no.4, pp.225-227, 2014 (Scopus)

  • Publication Type: Article / Article
  • Volume: 30 Issue: 4
  • Publication Date: 2014
  • Doi Number: 10.5152/ucd.2014.2271.
  • Journal Name: Ulusal Cerrahi Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.225-227
  • Gazi University Affiliated: Yes

Abstract

Dieulafoy lesion should be considered in massive gastrointestinal bleeding that may be difficult to localize. If the endoscopic and angiographic approaches fail, surgery must be considered according to the patient's clinical condition within an appropriate time. Although mostly seen in the stomach of old male patients with co-morbidities, here we presented a Dieulafoy lesion in the jejunum of a 21-year-old female patient without any significant comorbidity. After endoscopic and angiographic attempts, surgical resection with the help of intraoperative endoscopy was performed. It was shown that perioperative endoscopy may reveal the localization of jejunal bleedings and may guide the definitive treatment.