Abstract
View Large Image Figure Viewer Download Hi-res image View Large Image Figure Viewer Download Hi-res image A 15-year-old girl was admitted for massive rectal bleeding. She required 12 units of packed red blood cells and 9 units of plasma during the first 12 hours after admission. Gastroscopy and colonoscopy showed normal results, and, as the patient went into hypovolemic shock, an emergency laparotomy and total intraoperative enteroscopy with a colonoscope were performed. Two enterotomies were performed to allow complete exploration of the small intestine, 1 in the mid jejunum and the other in the mid ileum. Active bleeding was observed from a polypoid lesion in the proximal jejunum (A) and was controlled with application of a hemoclip (B). The bleeding lesion was resected, and histopathology revealed a submucosal vascular lesion (aneurysm) that looked like a caliber-persistent artery, compatible with a jejunal Dieulafoy ulcer (C, H&E, orig. mag. ×40). After surgery, there were no relapses and the patient was discharged. View Large Image Figure Viewer Download Hi-res image
Published Version
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