Intraoperative transillumination with water-filling of lumen for localizing lesions in occult small bowel bleeding: Case report.
BACKGROUND
Occult small bowel bleeding is always difficult to locate by either radiological examination or endoscopy. When the site of bleeding cannot be found by nonsurgical measures, exploratory laparotomy becomes necessary.


METHODS
A 63-year-old woman with a half-month history of occult gastrointestinal bleeding failed to many conservative therapies.


METHODS
Intraoperative transillumination with water-filling of lumen was performed.


METHODS
Small bowel bleeding was diagnosed intraoperatively.


RESULTS
Segmental resection of the diseased small bowel with side-to-side anastomosis was performed while the histology showed no significant abnormality.


CONCLUSIONS
The technique of intraoperative transillumination with water-filling of lumen allows simple, accurate, and rapid localization of lesions in occult small bowel bleeding and facilitates precise and definitive surgery.
Department of Gastrointestinal Surgery Department of Digestion, Liaocheng people's Hospital, Liaocheng, Shandong Provence, China.
Xiangheng
X
Kong
Yuning
Y
Cao
Daogui
D
Yang
Senlin
S
Li
D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis*; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology; D007432:Intraoperative Period; D008875:Middle Aged; D014172:Transillumination / Q000379:methods*; D014867:Water
D014867:Water