Jejunal Dieulafoy's lesion: case report and literature review.
Dieulafoy's lesions are rare and usually present in the stomach. There are only 18 cases of jejunal Dieulafoy's lesion reported. It can present as a massive gastrointestinal bleed and a high grade of suspicion is necessary for a quick and effective approach. The authors present the case of a 14-year-old adolescent with a sudden onset of hematochezia and shock. The high and low endoscopies as well as the arteriography were all inconclusive. An exploratory laparotomy was undertaken in the first 24 h of hospital admission. A review of the small bowel by advancing soft bowel clamps in a sequential manner revealed a bleeding lesion in the jejunum. The histological exam showed a Dieulafoy's lesion.
Moreira-Pinto
João
J
Serviço de Cirurgia Pediátrica, Hospital de Crianças Maria Pia, Rua da Boavista, 827, Porto 4000-111, Portugal. moreirapinto@gmail.com
Raposo
Carlos
C
Teixeira da Silva
Vitor
V
Curado
João
J
Barbosa
Eva
E
Honavar
Minal
M
Flemming Oliveira
José
J
D000293:Adolescent; D001165:Arteriovenous Malformations / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications / Q000601:surgery*; D007583:Jejunum / Q000098:blood supply / Q000601:surgery; D035583:Rare Diseases; D012769:Shock / Q000209:etiology