[Massive digestive hemorrhage caused by arterial malformation of the jejunum. Diagnostic value of emergency arteriography].
A case of massive digestive bleeding due to an arterial abnormality of the jejunal wall is reported. Its interest is twofold: a) After a complete endoscopic and operative examination of the GI tract proved negative, an emergency superior mesenteric angiography was the only investigation which allowed to recognize the site and mechanism of the bleeding; b) from a nosologic point of view, the clinico-pathological picture was entirely similar to that of "Dieulafoy's erosion", a syndrome which has been only described, up to now, in the gastric mucosa.
D000328:Adult; D001158:Arteries / Q000002:abnormalities*; D004630:Emergencies; D005069:Evaluation Studies as Topic; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D011859:Radiography
Hémorragie digestive cataclysmique par malformation artérielle du jéjunum. Intérêt diagnostique de l'artériographie en urgence.