Jejunal Dieulafoy's lesion as a cause of difficult-to-manage obscure gastrointestinal bleeding. Combined endoscopic treatment

Rev Esp Enferm Dig. 2024 Dec;116(12):709. doi: 10.17235/reed.2024.10176/2023.

Abstract

Dieulafoy's lesion (DL) is an uncommon vascular malformation-an aberrant, dilated submucosal arteriole (1-3 mm thick, 10 x nv). It runs near the mucosal surface and protrudes, and may potentially induce gastrointestinal bleeding (GIB). It usually originates in the stomach (upper lesser curvature), with endoscopy being the diagnostic, therapeutic modality of choice. Jejunal DL (JDL) is a rare cause of obscure GIB (OGIB) that is challenging for endoscopists and threatens patient lives. Other diagnostic techniques such as Tc99m-labeled red blood cell scintigraphy, well established in the classic armamentarium for OGIB diagnosis, cannot overcome endoscopic procedures. We report the case of a patient with OGIB secondary to an exceptionally located Dieulafoy's lesion who underwent combined endoscopic treatment.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Endoscopy, Gastrointestinal*
  • Gastrointestinal Hemorrhage* / diagnostic imaging
  • Gastrointestinal Hemorrhage* / etiology
  • Humans
  • Jejunum* / blood supply
  • Jejunum* / diagnostic imaging
  • Jejunum* / surgery
  • Vascular Malformations* / complications
  • Vascular Malformations* / diagnostic imaging