Document Detail

Jejunal Dieulafoy's lesion: case report and literature review.
MedLine Citation:
PMID:  19488764     Owner:  NLM     Status:  MEDLINE    
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.
João Moreira-Pinto; Carlos Raposo; Vitor Teixeira da Silva; João Curado; Eva Barbosa; Minal Honavar; José Flemming Oliveira
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-06-02
Journal Detail:
Title:  Pediatric surgery international     Volume:  25     ISSN:  1437-9813     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-01     Completed Date:  2009-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  641-2     Citation Subset:  IM    
Serviço de Cirurgia Pediátrica, Hospital de Crianças Maria Pia, Rua da Boavista, 827, Porto 4000-111, Portugal.
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MeSH Terms
Arteriovenous Malformations / complications,  surgery*
Follow-Up Studies
Gastrointestinal Hemorrhage / etiology
Jejunal Diseases / complications,  surgery*
Jejunum / blood supply,  surgery
Rare Diseases
Shock / etiology

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