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Pediatric Surgery International

, Volume 25, Issue 7, pp 641–642 | Cite as

Jejunal Dieulafoy’s lesion: case report and literature review

  • João Moreira-Pinto
  • Carlos Raposo
  • Vitor Teixeira da Silva
  • João Curado
  • Eva Barbosa
  • Minal Honavar
  • José Flemming Oliveira
Case Report

Abstract

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.

Keywords

Gastrointestinal bleed Jejunum Dieulafoy 

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • João Moreira-Pinto
    • 1
  • Carlos Raposo
    • 2
  • Vitor Teixeira da Silva
    • 2
  • João Curado
    • 2
  • Eva Barbosa
    • 2
  • Minal Honavar
    • 2
  • José Flemming Oliveira
    • 2
  1. 1.Serviço de Cirurgia PediátricaHospital de Crianças Maria PiaPortoPortugal
  2. 2.Hospital Pedro HispanoMatosinhosPortugal

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