Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion
Ramazan Kozan1, Merter Gülen1, Tonguç Utku Yılmaz2, Sezai Leventoğlu1, Erdal Yılmaz1
1Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
2Department of General Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
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.
Keywords: Dieulafoy lesion, gastrointestinal bleeding, jejunum, intraoperative endoscopy
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - R.K., S.L.; Supervision - E.Y.; Materials - M.G., R.K.; Data Collection and/or processing - T.U.Y., M.G.; Analysis and/or Interpretation - R.K., T.U.Y.; Literature Review - S.L., M.G.; Writer - T.U.Y., R.K.; Critical Review - E.Y.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.