DIEULAFOY’S LESION OF JEJUNUM PRESENTING AS AN OBSCURE GASTROINTESTINAL BLEEDING: A CASE REPORT

Abstract

Obscure gastrointestinal bleeding has been designated as bleeding of unknown origin that persist or recurs after a negative initial or primary endoscopy (colonoscopy and upper endoscopy). We present a case of 16 years old male who was admitted at our hospital with presentation of black tarry hard foul-smelling stool associated with weakness, dizziness and loss of consciousness for 10-15 minutes. Physical examination showing pallor. Upper GI Endoscopy, colonoscopy and double balloon Enteroscopy (DBE) failed to find out the cause of bleeding whereas, CT angiography shows a prominent submucosal vessel with blush of contrast enhancement seen at mid-jejunum and suggestive of a Dieulafoy’s lesion. As the lesion was not identified properly during both anterograde and retrograde Double Balloon Enteroscopy we decided to go for the conservative management and treated the patient on close monitoring.