International Journal of Gastrointestinal Intervention (Jul 2022)

A Multidisciplinary approach to treat massive recurrent hematochezia from a jejunal Dieulafoy lesion: A case report

  • Tien Manh Huynh,
  • Quang Dinh Le,
  • Mai Ngoc Luu,
  • Tram Thi Huyen Nguyen,
  • Quy Nhuan Bui,
  • Anh Phan Tuong Mai,
  • Thang Hiep Duc Tran,
  • Hien Minh Tran,
  • Cong Hong Minh Vo,
  • Duc Trong Quach

DOI
https://doi.org/10.18528/ijgii220007
Journal volume & issue
Vol. 11, no. 3
pp. 135 – 138

Abstract

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Jejunal Dieulafoy lesion (DL) is an exceedingly rare, life-threatening cause of gastrointestinal bleeding. Due to its rarity, intermittent bleeding symptoms that often necessitate prompt clinical intervention, variability in detection and treatment methods, and the risk of rebleeding, this condition frequently presents a diagnostic and therapeutic conundrum. We report a case of severe, intermittent, recurrent hematochezia due to a jejunal DL that was difficult to localize. In this case, the metallic coils used as a radiopaque marker allowed surgeons to accurately identify the bleeding site during intraoperative enteroscopy and successfully manage the lesion with minimally invasive laparoscopic surgery.

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