A case of bleeding from the Dieulafoy lesion of the jejunum.
10.3349/ymj.1997.38.4.240
- Author:
Kwi Soon LEE
1
;
Yoon Jae MOON
;
Sang In LEE
;
In Suh PARK
;
Seung Kook SOHN
;
Jeong Sik YU
;
Jeong Hae KIE
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Dieulafoy lesion;
gastrointestinal bleeding
- MeSH:
Adult;
Arteries/abnormalities*;
Case Report;
Female;
Gastric Mucosa/blood supply*;
Gastrointestinal Hemorrhage/etiology*;
Human;
Intestinal Mucosa/blood supply*
- From:Yonsei Medical Journal
1997;38(4):240-244
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dieulafoy lesion is an uncommon cause of gastrointestinal bleeding, reported to be only 2% of acute or chronic upper gastrointestinal bleeding episodes. Bleeding occurs from a small mucosal erosion involving an unusually large submucosal artery in an otherwise normal mucosa. It is associated with massive, life threatening hemorrhage and is difficult to diagnosis. In most cases the lesion is encountered in the proximal stomach, antrum, duodenum, colon and rectum. In particular, extragastric Dieulafoy lesion is an extremely rare source of intestinal bleeding. In Korea, no case of bleeding from a Dieulafoy lesion of the small intestine has been previously reported. We experienced one case of bleeding from a jejunal Dieulafoy lesion, which was confirmed by the pathologic examination of the resected specimen, and report here.
