Jejunal Dieulafoy's lesion: case report and literature review

被引：7

作者：

Moreira-Pinto, Joao ^{[1
]}

Raposo, Carlos ^{[2
]}

da Silva, Vitor Teixeira ^{[2
]}

Curado, Joao ^{[2
]}

Barbosa, Eva ^{[2
]}

Honavar, Minal ^{[2
]}

Oliveira, Jose Flemming ^{[2
]}

机构：

[1] Hosp Criancas Maria Pia, Serv Cirurgia Pediat, P-4000111 Oporto, Portugal

[2] Hosp Pedro Hispano, Matosinhos, Portugal

来源：

PEDIATRIC SURGERY INTERNATIONAL | 2009年 / 25卷 / 07期

关键词：

Gastrointestinal bleed; Jejunum; Dieulafoy; SMALL-INTESTINE;

D O I：

10.1007/s00383-009-2383-1

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

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.

引用

页码：641 / 642

页数：2

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