Edorium Journal of

Surgery

 
  Table of Contents    
Case Report
 
Life-threatening jejunum bleeding of a male due to Dieulafoy's lesion: A case report
Gao-Jie Liu1, Zheng Su2, Ze-Jian Lv3, Dong-Ming Lai1, Shuang Chen4
1Department of Gastrointestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.
2Department of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.
3Department of Gastrointestinal Surgery, Guangdong General Hospital, Guangzhou, Guangdong, Republic of China.
4Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.

Article ID: 100003S05GL2015
doi:10.5348/S05-2015-3-CR-1

Address correspondence to:
Dong-Ming Lai
MD, Department of Gastrointestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
Guangzhou, Guangdong
Republic of China
Address No: 107, Western Yan-Jiang Rd, Yuexiu Dist, Guangzhou, Guangdong, Republic of China
Phone: 18825136102

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article
Liu Gao-Jie, Su Z, Lv Ze-Jian, Lai Dong-Ming, Chen S. Life-threatening jejunum bleeding of a male due to Dieulafoy's lesion: A case report. Edorium J Surg 2015;2:1–5.


Abstract
Introduction: Diagnosis and management of the Dieulafoy's lesion located in the small intestine remain a challenge for surgeons. Angiography is still the only proper methods for diagnosing this disease. Emergent excision of the bleeding or embolization of the corresponding vessel are two main methods to treat this disease. Proper methods to locate the lesion during the laparotomy could decrease the mortality.
Case Report: We present a 19-year-old male with Dieulafoy's lesion in the jejunum whose prior extensive investigations including gastroscopy and colonoscopy failed to reveal the bleeding. Selective angiography of the superior mesenteric artery quickly identified an abnormal image of the jejunum which had not been embolized for fearing of massive intestinal ischemia. An emergency surgery was performed and the bleeding lesion was successfully resected and pathologically identified. The patient came out within seven days without any complications.
Conclusion: Jejunum Dieulafoy's lesion is extremely rare and life-threatening. This case highlights the importance of early diagnosis by angiography and proper methods to locate the bleeding during the laparotomy.

Keywords: Bleeding, Dieulafoy's lesion, Jejunum, Laparotomy, Selective arteriography


[HTML Full Text]   [PDF Full Text]

Author Contributions
Gao-Jie Liu – Substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published
Zheng Su – Substantial contributions to article design, collection of data, drafting the article, approval of the version to be published
Ze-Jian Lv – Acquisition of data, interpretation of data, drafting the article, final approval of the version to be published
Shuang Chen – Acquisition of data, interpretation of data, drafting the article, final approval of the version to be published
Dong-Ming Lai – Substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, revising it critically for important intellectual content, final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Gao-Jie Liu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Gao-Jie Liu is Doctor in Sun Yat-Sen Memorial Hospital at Sun Yat-Sen University, Guangzhou, China. He earned undergraduate degree (Clinical bachelor) from Henan University, Henan, China and postgraduate degree( Master of clinical) from, Sun Yat-Sen University, Guangzhou, China. He has published three research papers in national and international academic journals. His research interests include gastroenteric tumor and anal diseases. He intends to pursue (Postdocs) in future.



Zheng Su is working in Department of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.



Ze-Jian Lv is working in Department of Gastrointestinal Surgery, Guangdong General Hospital, Guangzhou, Guangdong, Republic of China.



Dong-Ming Lai is working in Department of Gastrointestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.



Shuang Chen is working in Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, Republic of China.




  Home line About the Journal line Aim and Scope line Sections line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.