Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding
Dieulafoy lesions are tortuous vascular malformations characterized by thick walled submucosal arteries/large caliber arterioles protruding through a small mucosal defect surrounded by normal mucosa. They can occur in the jejunum/ileum and can cause massive, life-threatening GI bleeding. We present...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2020-03-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2020.1742521 |
| _version_ | 1828079173613125632 |
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| author | Olubunmi Oladunjoye Adeolu Oladunjoye Lydia Slater Asad Jehangir |
| author_facet | Olubunmi Oladunjoye Adeolu Oladunjoye Lydia Slater Asad Jehangir |
| author_sort | Olubunmi Oladunjoye |
| collection | DOAJ |
| description | Dieulafoy lesions are tortuous vascular malformations characterized by thick walled submucosal arteries/large caliber arterioles protruding through a small mucosal defect surrounded by normal mucosa. They can occur in the jejunum/ileum and can cause massive, life-threatening GI bleeding. We present an 80-year-old female with three weeks of black tarry stools, progressive dyspnea on exertion and generalized body weakness with no significant findings on Esophagogastroduodenoscopy (EGD). Push enteroscopy revealed a Dieulafoy lesion in the proximal jejunum and an overlying clot, with oozing of blood noted after clot removal. The lesion was treated with Argon plasma coagulation (APC) and a post-APC fleshy protuberance was clipped to secure hemostasis. It is therefore important to keep a high index of suspicion for jejunal/ileal Dieulafoy lesions in patients with massive GI bleeding of unclear etiology on EGD/colonoscopy. |
| first_indexed | 2024-04-11T02:57:02Z |
| format | Article |
| id | doaj.art-23d8792d09e94406b8aba2f1e4e2ed5f |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:57:02Z |
| publishDate | 2020-03-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-23d8792d09e94406b8aba2f1e4e2ed5f2023-01-02T14:46:48ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662020-03-0110213813910.1080/20009666.2020.17425211742521Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleedingOlubunmi Oladunjoye0Adeolu Oladunjoye1Lydia Slater2Asad Jehangir3Reading Hospital - Tower HealthBoston Children’s HospitalReading Hospital - Tower HealthTemple UniversityDieulafoy lesions are tortuous vascular malformations characterized by thick walled submucosal arteries/large caliber arterioles protruding through a small mucosal defect surrounded by normal mucosa. They can occur in the jejunum/ileum and can cause massive, life-threatening GI bleeding. We present an 80-year-old female with three weeks of black tarry stools, progressive dyspnea on exertion and generalized body weakness with no significant findings on Esophagogastroduodenoscopy (EGD). Push enteroscopy revealed a Dieulafoy lesion in the proximal jejunum and an overlying clot, with oozing of blood noted after clot removal. The lesion was treated with Argon plasma coagulation (APC) and a post-APC fleshy protuberance was clipped to secure hemostasis. It is therefore important to keep a high index of suspicion for jejunal/ileal Dieulafoy lesions in patients with massive GI bleeding of unclear etiology on EGD/colonoscopy.http://dx.doi.org/10.1080/20009666.2020.1742521jejunumdieulafoygastrointestinal bleeding |
| spellingShingle | Olubunmi Oladunjoye Adeolu Oladunjoye Lydia Slater Asad Jehangir Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding Journal of Community Hospital Internal Medicine Perspectives jejunum dieulafoy gastrointestinal bleeding |
| title | Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding |
| title_full | Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding |
| title_fullStr | Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding |
| title_full_unstemmed | Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding |
| title_short | Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding |
| title_sort | dieulafoy lesion in the jejunum a rare cause of massive gastrointestinal bleeding |
| topic | jejunum dieulafoy gastrointestinal bleeding |
| url | http://dx.doi.org/10.1080/20009666.2020.1742521 |
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