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KMID : 0357919990330121207
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Korean Journal of Pathology
1999 Volume.33 No. 12 p.1207 ~ p.1210
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Bleeding form Dieulafoy’s Vascular Malformation of the Proximal Ileum -A case report-
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Kim Hee-Jung
Jung Jun-Keun
Suh Young-Min
Kim Kyung-Sook
Kim Ho-Guen
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Abstract
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Dieulafoy’s vascular malformation is a rare cause of massive gastrointestinal bleeding. Most often it occurs in stomach within 6 cm from the gastroesophageal junction. Only a few cases have been reported to occur in the small intestine and colon. Occasionally, Dieulafoy’s lesion of small intestine is difficult to recognize because of rarity, a paucity of symptoms and negative findings on barium studies. Therefore, this lesion needs to be considered in a patient with massive lower gastrointestinal bleeding. We report a case of Dieulafoy’s vascular malformation in ileum 2 m proximal to ileocecal value in a 41-year-old woman who visited emergency clinic because of hematemesis, dizziness and vomiting. Small intestine revealed a wide-caliber artery within the submucosa showing intimal thickening, medial muscular hypertrophy and thrombosis.
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KEYWORD
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Dieulafoy’s lesion, Gastrointestinal bleeding, Ileum
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