Jejunal Dieulafoy Lesion detected by intraoperative endoscopy in a child

Hsun Chin Chao*, Shao Hsuan Hsia, Yung Ching Ming, Chuen Hsueh

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

3 Scopus citations


Introduction: Dieulafoy lesion is an unusual cause of gastrointestinal bleeding in which significant, and often recurrent, hemorrhage occurs from a pinpoint non-ulcerated arterial lesion. It is usually located in gastric fundus, and is extremely rare in children. Case Presentation: In this study, we present a male adolescent with jejunal Dieulafoy lesion. The patient was admitted to the hospital due to hema-tochezia and hypotension. No active bleeders were identified on endoscopy, colonoscopy, and double-balloon enteroscopy. Computed tomography angiography revealed active bleeders in jejunum. An intraoperative enteroscopy, using flexible endoscopy, revealed a jejunal Dieulafoy lesion with spurting bleeding. The patient was successfully treated by bowel resection. Conclusions: Intraoperative endoscopy is a relatively efficient and safe modality for evaluating the bleeding Dieulafoy lesion in the small intestine, and is essential for directing surgery.

Original languageEnglish
Article numbere7727
JournalIranian Journal of Pediatrics
Issue number6
StatePublished - 12 2016

Bibliographical note

Publisher Copyright:
© 2016, Growth & Development Research Center.


  • Child
  • Dieulafoy kesion
  • GI bleeding
  • Intraoperative endoscopy
  • Jejunum


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