Ileal Dieulafoy lesion arose 15\u2009years after partial small bowel resection for meconium obstruction of the neonate: a case report

Maho Iwamoto,Mitsuhiko Moriyama,Eri Fujita,Shuichiro Uehara,Tsugumichi Koshinaga,Manabu Hanada

doi:10.1186/s12887-021-02914-7

Abstract

BackgroundAnastomotic or perianastomotic ulcers present with symptoms such as chronic anaemia and occult bleeding as long-term complications of bowel resection performed in infancy.Case presentationHerein, we describe a 15-year-old girl with a history of surgery for meconium obstruction without mucoviscidosis in infancy who was hospitalized with chief complaints of presyncope and convulsions. Seven hours after admission, she developed melena and went into shock. An emergency laparotomy was performed, and a Dieulafoy lesion was detected near the site of ileal anastomosis from the surgery that had been performed during infancy.ConclusionsAlthough overt massive lower gastrointestinal bleeding necessitating emergency care is rare in the long term after infant bowel resection, Dieulafoy lesions can cause serious bleeding, requiring rapid life-saving haemostatic procedures.

Highlights

Anastomotic or perianastomotic ulcers present with symptoms such as chronic anaemia and occult bleeding as long-term complications of bowel resection performed in infancy.Case presentation: we describe a 15-year-old girl with a history of surgery for meconium obstruction without mucoviscidosis in infancy who was hospitalized with chief complaints of presyncope and convulsions
Conclusions: overt massive lower gastrointestinal bleeding necessitating emergency care is rare in the long term after infant bowel resection, Dieulafoy lesions can cause serious bleeding, requiring rapid life-saving haemostatic procedures
Anastomotic and perianastomotic ulcers are usually detected during investigations for chronic anaemia or faecal occult blood, and the diagnosis is often delayed by several years

Summary

Conclusions

Overt massive lower gastrointestinal bleeding necessitating emergency care is rare in the long term after infant bowel resection, Dieulafoy lesions can cause serious bleeding, requiring rapid life-saving haemostatic procedures.

Background

Discussion and conclusions