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- W2165488312 abstract "A 37-year-old man with a history of 2 episodes of massive hematochezia 13 and 5 years ago was hospitalized because of massive hematochezia and hypotension. The hemoglobin level at admission was 9.6 gm/dL (normal: 11.0~15.0 gm/dL); the level decreased to 7.8 gm/dL after 4 hours. Emergent angiography suggested pooling of contrast in relation to a branch of the superior mesenteric artery, but failed to clearly demonstrate a point of extravasation. EGD was normal. Colonoscopy disclosed red clots without an obvious site of bleeding. There was a recurrence of massive hematochezia 13 days later and the patient underwent surgical exploration. At surgery, an endoscope was inserted perorally to the jejunum with the assistance of the surgeon. A submucosal lesion measuring 6 mm in diameter was found in the jejunum approximately 40 cm distal to the ligament of Treitz (A). A segment of jejunum that included the lesion was resected. Histopathologic evaluation demonstrated a large vessel (B; arrowheads; H&E, orig. mag. ×5) with a muscular wall in the submucosal layer that had protruded to the mucosa. These findings suggested the diagnosis of a jejunal Dieulafoy lesion. There have been no subsequent episodes of bleeding during a follow-up period of 8 years." @default.
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- W2165488312 date "2002-04-01" @default.
- W2165488312 modified "2023-10-18" @default.
- W2165488312 title "Bleeding jejunal Dieulafoy lesion" @default.
- W2165488312 doi "https://doi.org/10.1067/mge.2002.121795" @default.
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