Localization of small intestinal bleeding. The role of intraoperative endoscopy.
The preoperative identification of a bleeding site is not always possible, particularly when bleeding originates in the small intestine. Small vascular abnormalities, such as the telangiectatic lesion described in this report, comprise about 40-60% of such cases. Preoperative location using arteriography, radionuclide bleeding scan, and enteroclysis were nondiagnostic. The lesion was demonstrated by intraoperative endoscopy. A segment of small intestine was resected, and the patient made an uneventful recovery.
Scott-Conner
C E
CE
Department of Surgery, University of Mississippi School of Medicine, Jackson 39216-4505.
Subramony
C
C
D000368:Aged; D000714:Anastomosis, Surgical; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007583:Jejunum / Q000601:surgery*; D008297:Male; D013156:Splenectomy; D013684:Telangiectasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery