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Case Report
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| Life-threatening jejunum bleeding of a male due to Dieulafoy's lesion: A case report | ||||||
| Gao-Jie Liu1, Zheng Su2, Ze-Jian Lv3, Dong-Ming Lai1, Shuang Chen4 | ||||||
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1Department of Gastrointestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.
2Department of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China. 3Department of Gastrointestinal Surgery, Guangdong General Hospital, Guangzhou, Guangdong, Republic of China. 4Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China. | ||||||
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| How to cite this article |
| Liu Gao-Jie, Su Z, Lv Ze-Jian, Lai Dong-Ming, Chen S. Life-threatening jejunum bleeding of a male due to Dieulafoy's lesion: A case report. Edorium J Surg 2015;2:1–5. |
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Abstract
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Introduction:
Diagnosis and management of the Dieulafoy's lesion located in the small intestine remain a challenge for surgeons. Angiography is still the only proper methods for diagnosing this disease. Emergent excision of the bleeding or embolization of the corresponding vessel are two main methods to treat this disease. Proper methods to locate the lesion during the laparotomy could decrease the mortality.
Case Report: We present a 19-year-old male with Dieulafoy's lesion in the jejunum whose prior extensive investigations including gastroscopy and colonoscopy failed to reveal the bleeding. Selective angiography of the superior mesenteric artery quickly identified an abnormal image of the jejunum which had not been embolized for fearing of massive intestinal ischemia. An emergency surgery was performed and the bleeding lesion was successfully resected and pathologically identified. The patient came out within seven days without any complications. Conclusion: Jejunum Dieulafoy's lesion is extremely rare and life-threatening. This case highlights the importance of early diagnosis by angiography and proper methods to locate the bleeding during the laparotomy. | |
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Keywords:
Bleeding, Dieulafoy's lesion, Jejunum, Laparotomy, Selective arteriography
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Author Contributions
Gao-Jie Liu – Substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Zheng Su – Substantial contributions to article design, collection of data, drafting the article, approval of the version to be published Ze-Jian Lv – Acquisition of data, interpretation of data, drafting the article, final approval of the version to be published Shuang Chen – Acquisition of data, interpretation of data, drafting the article, final approval of the version to be published Dong-Ming Lai – Substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, revising it critically for important intellectual content, final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Gao-Jie Liu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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