Abstract
A 20-year-old Thai man presented with melena of 1 week's duration, unaccompanied by abdominal pain or other alarming symptoms. On admission, hemoglobin and hematocrit were 6.2 g/dL and 20.6%, respectively. EGD and colonoscopy had normal results. Double-balloon enteroscopy was subsequently performed by the oral route to a distance of about 360 cm from the incisors. A 15-cm segment of distal jejunum was seen to have a nearly circumferential abnormality, including edematous mucosa, thickened folds, submucosal hemorrhage, and segmental lymph angiectasia with oozing of blood (A).
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