Massive gastrointestinal bleeding due to a Dieulafoy jejunal lesion: a case report.

INTRODUCTION

Jejunal Dieulafoy lesions is a rare cause of gastrointestinal bleeding. Most cases are asymptomatic and require difficult surgical approaches even as endoscopic advancements have become available.

CASE PRESENTATION: We describe the case of a 19-year-old female who suffered a massive lower gastrointestinal bleeding, was hemodynamically unstable and needed blood transfusions. We performed an intraoperative enteroscopy which revealed a jejunal Dieulafoy lesion and proceeded to surgically resect and repair it by anastomosis. There were no negative outcomes during the hospitalization.

CLINICAL DISCUSSION: Surgery is required in less than 5 % of such cases, when bleeding cannot be controlled by endoscopic approach, angiography or when these methods are not available.

CONCLUSION

It is important to be aware of this lesion as a cause of gastrointestinal bleeding and differentiate it from other causes.